Provider Demographics
NPI:1093151904
Name:DE SOLA, SYLVIA CHO (MD)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:CHO
Last Name:DE SOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5202 TEXANA DR
Mailing Address - Street 2:APT 528
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3772
Mailing Address - Country:US
Mailing Address - Phone:210-842-3586
Mailing Address - Fax:
Practice Address - Street 1:5202 TEXANA DR
Practice Address - Street 2:APT 528
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3772
Practice Address - Country:US
Practice Address - Phone:210-842-3586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-18
Last Update Date:2013-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10047219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology