Provider Demographics
NPI:1679899173
Name:SOMA HEALTH PARTNERS LLC
Entity Type:Organization
Organization Name:SOMA HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CANDELARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-607-6533
Mailing Address - Street 1:1111 HIGHWAY 290 WEST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720
Mailing Address - Country:US
Mailing Address - Phone:512-607-6533
Mailing Address - Fax:512-428-8164
Practice Address - Street 1:1111 HIGHWAY 290 WEST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78720
Practice Address - Country:US
Practice Address - Phone:512-607-6533
Practice Address - Fax:512-428-8164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty