Provider Demographics
NPI:1619165123
Name:SOLER, LAURA ISELA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:ISELA
Last Name:SOLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ISELA
Other - Last Name:DOMINGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:107 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-2935
Mailing Address - Country:US
Mailing Address - Phone:361-643-6623
Mailing Address - Fax:361-643-6964
Practice Address - Street 1:107 CEDAR DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-2935
Practice Address - Country:US
Practice Address - Phone:361-643-6623
Practice Address - Fax:361-643-6964
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10028942207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine