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NPI Code Detail

MEDICARE: KELLIE SORIA FNP-C

MEDICARE: KELLIE SORIA FNP-C
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
1363LF0000XFamily Nurse Practitioner1018015TX

General Provider Information

NPI Number : 1801496328
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLIE SORIA FNP-C
Provider Business Mailing Address
First Line : 5718 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5745
Country : US
Telephone Number : 281-201-0657
Fax Number : 281-895-3083
Provider Business Practice Location Address
First Line : 5718 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5745
Country : US
Telephone Number : 281-201-0657
Fax Number : 281-895-3083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 01/27/2024

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Directions to “ KELLIE SORIA FNP-C” Practice Location

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