MEDICARE: JOSE RAUL SOTO 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
1	207RI0011X	Interventional Cardiology Physician	G2854	TX
2	207RC0000X	Cardiovascular Disease Physician	G2854	TX
3	174400000X	Specialist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060070473	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1497756449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE RAUL SOTO MD

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR STE 1.100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-4523
Fax Number	:	713-338-5500

Provider Business Practice Location Address
First Line	:	7737 SOUTHWEST FWY STE 700
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1820
Country	:	US
Telephone Number	:	713-272-1600
Fax Number	:	713-272-1615

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/17/2025

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Directions to “ JOSE RAUL SOTO MD” Practice Location

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