Individual
SON LINDA SOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1011299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419515802
—
TX
01
—
419515803
MEDICAID CSHCN
TX
01
—
8PL583
BCBS
TX
01
—
Q00093750
RAILROAD MEDICARE
TX
Enumeration date
10/20/2020
Last updated
08/24/2021
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