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Individual

GERALD BONGALOS SORIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC

Contact information

Practice address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(936) 266-2000
Mailing address
17200 ST LUKES WAY, THE WOODLANDS, TX 77384-8007
(660) 339-2259

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
919306
TX
363LA2100X
Acute Care Nurse Practitioner
1082126
TX

Other

Enumeration date
06/12/2022
Last updated
06/12/2022
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