Sorolla Olympia, Maricelle G
Sorolla Olympia, Maricelle G is an individual health care provider with primary practice located at 1650 W College St Ste 150 , Grapevine TX 76051-3565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Sorolla Olympia, Maricelle G can be contacted via phone (817) 388-3440.Contact Information
Primary practice address
1650 W College St Ste 150
Grapevine TX 76051-3565
Phone: (817) 388-3440
Fax: (817) 388-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N8064 | Texas |
Profile Details
| NPI number | 1194716720 |
|---|---|
| LBN Legal business name | Sorolla Olympia, Maricelle G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Apr 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194716720 | NPPES |
| Texas | MEDICAID | 219963001 |
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