Sotolongo, Rodolfo P
Sotolongo, Rodolfo P is an individual health care provider with primary practice located at 2693 North St , Beaumont TX 77702-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sotolongo, Rodolfo P can be contacted via phone (409) 832-8862.Contact Information
Primary practice address
2693 North St
Beaumont TX 77702-1624
Phone: (409) 832-8862
Fax: (409) 832-1664
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G4209 | Texas |
Profile Details
NPI number | 1255376679 |
---|---|
LBN Legal business name | Sotolongo, Rodolfo P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 19th, 2006 |
Last updated | May 29th, 2014 - about 11 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 | 1255376679 | NPPES |
Texas | MEDICAID | 138475203 | |
Texas | MEDICAID | 138475202 |
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