Individual
MS. CHRISTA DANIELLE SOEKAMTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016022955
MO
207W00000X
Ophthalmology Physician
Primary
S5502
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
S5502
TX
Other
Enumeration date
04/05/2016
Last updated
09/08/2022
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