Provider Demographics
NPI:1245551126
Name:SOMCIO, RAY JUSTIN (MD)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:JUSTIN
Last Name:SOMCIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6701 FANNIN ST
Mailing Address - Street 2:SUITE 470
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2608
Mailing Address - Country:US
Mailing Address - Phone:832-824-7237
Mailing Address - Fax:832-825-0160
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:SUITE 470
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2608
Practice Address - Country:US
Practice Address - Phone:832-824-7237
Practice Address - Fax:832-825-0160
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2016-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10037232390200000X
TXQ42922085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program