Provider Demographics
NPI:1265465827
Name:ARREDONDO-SOBERON, FRANCISCO (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:ARREDONDO-SOBERON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 N LOOP 1604 W STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4588
Mailing Address - Country:US
Mailing Address - Phone:210-404-2229
Mailing Address - Fax:726-204-8019
Practice Address - Street 1:4515 N LOOP 1604 W STE 301
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4588
Practice Address - Country:US
Practice Address - Phone:210-404-2229
Practice Address - Fax:726-204-8019
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-081227207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2346134Medicaid
OHSO4087061Medicare ID - Type Unspecified
OHG07871Medicare UPIN