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Individual
BRIAN SO
Active
Individual
BRIAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
T6044
TX
Other
Enumeration date
04/06/2019
Last updated
12/05/2024
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