Individual
DR. MOISES MATEO SOULAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8406 FM 471 S, CASTROVILLE, TX 78009-5315
(830) 426-7444
Mailing address
3100 AVENUE E, HONDO, TX 78861-3534
(830) 426-7947
(830) 426-7860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J8135
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042201
—
TX
Enumeration date
07/13/2006
Last updated
03/17/2018
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