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Organization

WIGBERTO SOTO, M.D. P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WIGBERTO SOTO M.D. (OWNER)
(281) 484-1106
Entity
Organization

Contact information

Practice address
11914 ASTORIA BLVD, STE 440, HOUSTON, TX 77089-6064
(281) 484-1106
Mailing address
11914 ASTORIA BLVD, STE 440, HOUSTON, TX 77089-6064
(281) 484-1106

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
K1072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127003501
TX
Enumeration date
03/06/2015
Last updated
03/06/2015
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