| Dr Sylvia Ana Soto, Pc | |
|
411 W Concho Ave San Angelo TX 76903-6310 | |
| (325) 486-9468 | |
| (325) 653-6422 |
| Full Name | Dr Sylvia Ana Soto, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 411 W Concho Ave, San Angelo, Texas |
| Authorized Official Name and Position | Sylvia Ana Soto (OWNER) |
| Authorized Official Contact | 3254869468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sylvia Ana Soto, Pc 411 W Concho Ave San Angelo TX 76903-6310 Ph: (325) 486-9468 | Dr Sylvia Ana Soto, Pc 411 W Concho Ave San Angelo TX 76903-6310 Ph: (325) 486-9468 |
| NPI Number | 1710912746 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/31/2007 |
| Medicare PECOS PAC ID | 5294731451 |
|---|---|
| Medicare Enrollment ID | O20061011000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710912746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | 31147 (Texas) | Primary |
| Provider Name | Sylvia Ana Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184679763 PECOS PAC ID: 9931145935 Enrollment ID: I20050629001205 |
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