Provider Demographics
NPI:1457527681
Name:SORIANO, EDWIN BELTRAN (LPT)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:BELTRAN
Last Name:SORIANO
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 B PARK GROVE DR
Mailing Address - Street 2:STE C
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-647-7703
Mailing Address - Fax:281-647-7706
Practice Address - Street 1:607 B PARK GROVE DR
Practice Address - Street 2:STE C
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-647-7703
Practice Address - Fax:281-647-7703
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1148181225100000X
COPTL.0012083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist