Provider Demographics
NPI:1225547664
Name:SOTO MARTINEZ, VICTORIA C (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:C
Last Name:SOTO MARTINEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:C
Other - Last Name:SOTO-MARTINEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:6051 FM 3009 STE 210
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3473
Mailing Address - Country:US
Mailing Address - Phone:210-299-7770
Mailing Address - Fax:833-502-1747
Practice Address - Street 1:6051 FM 3009 STE 210
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3473
Practice Address - Country:US
Practice Address - Phone:210-299-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11460363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant