Organization
CLINICA DEL SOL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELIC SOROKA MD (MEDICAL DIRECTOR)
(713) 778-1904
Entity
Organization
Contact information
Practice address
6206 DASHWOOD DR, HOUSTON, TX 77081-4214
(713) 778-1904
(713) 778-0130
Mailing address
6206 DASHWOOD DR, HOUSTON, TX 77081-4214
(713) 778-1904
(713) 778-0130
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D1496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111607101
—
TX
Enumeration date
05/07/2008
Last updated
05/07/2008
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