Individual
CHRISTIAN SOTELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
Mailing address
11937 US HWY 271, ATTN: KATE WELLS, TYLER, TX 75708
(903) 877-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T5673
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10068783
TX
Other
Enumeration date
05/10/2019
Last updated
09/12/2022
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