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Individual

MONICA SOOBY HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSA

Contact information

Practice address
7934 VISHAL DR, CORPUS CHRISTI, TX 78414-2176
(210) 324-2550
Mailing address
7934 VISHAL DR, CORPUS CHRISTI, TX 78414-2176
(210) 324-2550

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000290
VA
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4340
NSAA
Enumeration date
01/31/2018
Last updated
12/15/2021
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