Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | TX9578 | TX |
NPI | 1316036718 |
---|---|
Provider Name | Dr. Daniel Manuel Soto |
First Address | Dallas, TX 75230-1277 |
Second Address | Dallas, TX 75230-1277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 05/11/2009 |