Individual
JOANNE SOTELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
425 UNIVERSITY BLVD, SUITE 240, ROUND ROCK, TX 78665-1053
(512) 509-0200
(512) 509-5424
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L6652
TX
2084P0804X
Child & Adolescent Psychiatry Physician
L6652
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171572401
—
TX
Enumeration date
08/30/2006
Last updated
10/29/2020
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