Provider Demographics
NPI:1124229695
Name:SOTO, EFRAIN E (MD)
Entity Type:Individual
Prefix:
First Name:EFRAIN
Middle Name:E
Last Name:SOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1305 W PARKWOOD AVE
Mailing Address - Street 2:SUITE A-107
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5700
Mailing Address - Country:US
Mailing Address - Phone:281-996-0068
Mailing Address - Fax:281-996-0186
Practice Address - Street 1:1305 W PARKWOOD AVE
Practice Address - Street 2:SUITE A-107
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5700
Practice Address - Country:US
Practice Address - Phone:281-996-0068
Practice Address - Fax:281-996-0186
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME100997207Q00000X
TXN1900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine