Individual
MS. MARIA A SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25511 BUDDE RD, STE 1201 BELLE BUILDING, SPRING, TX 77380-2080
(281) 364-1707
(281) 364-0028
Mailing address
PO BOX 8399, THE WOODLANDS, TX 77387-8399
(281) 364-1707
(281) 364-0028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M2479
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00250T
GROUP MEDICARE PIN
TX
01
—
00251T
MEDICARE GROUP PIN
TX
01
—
1590473-01
MEDICAID GROUP
TX
01
—
1590648-01
MEDICAID GROUP
TX
01
—
7030770
AETNA PIN #
—
01
—
P00840676
RR MEDICARE PTAN
—
Enumeration date
07/27/2006
Last updated
09/16/2010
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