Provider Demographics
NPI:1184276818
Name:SOUTULLO ESPERON, CESAR ALEJANDRO (MD)
Entity type:Individual
Prefix:
First Name:CESAR
Middle Name:ALEJANDRO
Last Name:SOUTULLO ESPERON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UT HEALTH, DEPARTMENT OF PSYCHIATRY
Mailing Address - Street 2:1941 EAST ROAD
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-6010
Mailing Address - Country:US
Mailing Address - Phone:713-486-2642
Mailing Address - Fax:713-486-2797
Practice Address - Street 1:UT HEALTH, DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:1941 EAST ROAD
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-6010
Practice Address - Country:US
Practice Address - Phone:713-486-2642
Practice Address - Fax:713-486-2797
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX467282084P0804X
KY334332084P0804X
TX476132084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry