MEDICARE: JOSE SORIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	15835	TX

General Provider Information

NPI Number	:	1154192615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE SORIA

Provider Business Mailing Address
First Line	:	1010 W EXCHANGE PKWY STE 2120
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-7116
Country	:	US
Telephone Number	:	945-758-3273
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 W EXCHANGE PKWY STE 2120
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-7116
Country	:	US
Telephone Number	:	945-758-3273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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Directions to “ JOSE SORIA ” Practice Location

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