Individual
RODOLFO P SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2693 NORTH ST, BEAUMONT, TX 77702-1624
(409) 832-8862
(409) 832-1664
Mailing address
P.O. BOX 7410, BEAUMONT, TX 77726-7410
(409) 835-5508
(409) 835-3835
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G4209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138475202
—
TX
05
—
138475203
—
TX
Enumeration date
06/19/2006
Last updated
05/29/2014
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