Individual
ALBERTO P SOMMERHALDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2072
(903) 247-0222
Mailing address
1804 NORTHWEST DR, LONGVIEW, TX 75604-2625
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E9421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012079
TX KIDNEY HEALTH
TX
01
—
118444
CHIP PROGRAM
TX
01
—
752961826A003
CHAMPUS
TX
01
—
88R993
BLUE CROSS BLUE SHIELD TX
TX
01
—
MDE9421
WORKERS COMP
TX
01
—
P00048092
TRAVELER MEDICARE
TX
Enumeration date
04/26/2006
Last updated
07/08/2007
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