Organization
N20 IOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE SOTO CNIM (CEO)
(832) 930-1000
Entity
Organization
Contact information
Practice address
10330 LAKE RD STE E, HOUSTON, TX 77070-1696
(832) 930-1000
(832) 941-1150
Mailing address
10330 LAKE RD STE E, HOUSTON, TX 77070-1696
(832) 930-1000
(832) 941-1150
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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