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NPI Code Detail

MEDICARE: MS. MARIA A SOSA MD

MEDICARE:  MS. MARIA A SOSA  MD
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
12085R0001XRadiation Oncology PhysicianM2479TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
300250TOTHERTXGROUP MEDICARE PIN
4P00840676OTHERRR MEDICARE PTAN
500251TOTHERTXMEDICARE GROUP PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
67030770OTHERAETNA PIN #

General Provider Information

NPI Number : 1427072610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA A SOSA MD
Provider Business Mailing Address
First Line : PO BOX 8399
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77387-8399
Country : US
Telephone Number : 281-364-1707
Fax Number : 281-364-0028
Provider Business Practice Location Address
First Line : 25511 BUDDE RD
Second Line : STE 1201 BELLE BUILDING
City : SPRING
State : TX
Zip : 77380-2080
Country : US
Telephone Number : 281-364-1707
Fax Number : 281-364-0028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 09/16/2010

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Directions to “ MS. MARIA A SOSA MD” Practice Location

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