Provider Demographics
NPI:1346670080
Name:DEL SOL CENTRO MEDICO FAMILIAR PLLC
Entity Type:Organization
Organization Name:DEL SOL CENTRO MEDICO FAMILIAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZEPEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-634-0200
Mailing Address - Street 1:3100 BROADWAY ST STE 104E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-2338
Mailing Address - Country:US
Mailing Address - Phone:713-634-0200
Mailing Address - Fax:713-634-0202
Practice Address - Street 1:3100 BROADWAY ST
Practice Address - Street 2:SUITE 104-E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-2337
Practice Address - Country:US
Practice Address - Phone:713-634-0200
Practice Address - Fax:713-634-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-16
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty