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
Fax: (409) 832-1664
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255376679 NPPES
Texas MEDICAID 138475203
Texas MEDICAID 138475202

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