Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | Q4295 | TX |
NPI | 1013209493 |
---|---|
Provider Name | Dr. Julie Linden Soto |
First Address | Tyler, TX 75701-8355 |
Second Address | Dallas, TX 75203-1007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 07/07/2017 |