Provider Demographics
NPI:1417281437
Name:BATTLE, SOO CHO (MD)
Entity Type:Individual
Prefix:
First Name:SOO
Middle Name:CHO
Last Name:BATTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SOO
Other - Middle Name:CHIN
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:120 HILLCREST MEDICAL BLVD
Mailing Address - Street 2:OFFICE BUILDING 2, SUITE 200
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8948
Mailing Address - Country:US
Mailing Address - Phone:254-297-0400
Mailing Address - Fax:
Practice Address - Street 1:120 HILLCREST MEDICAL BLVD
Practice Address - Street 2:OFFICE BUILDING 2, SUITE 200
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-8948
Practice Address - Country:US
Practice Address - Phone:254-297-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5987208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics