Provider Demographics
NPI:1740424142
Name:SOTELO-RAFIQ, ELSA PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:PATRICIA
Last Name:SOTELO-RAFIQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELSA
Other - Middle Name:PATRICIA
Other - Last Name:SOTELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2120 EL PASEO ST
Mailing Address - Street 2:# 3007
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3241
Mailing Address - Country:US
Mailing Address - Phone:713-383-6899
Mailing Address - Fax:713-500-0712
Practice Address - Street 1:6565 FANNIN ST
Practice Address - Street 2:M227
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-3490
Practice Address - Fax:713-793-1603
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN/A207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology