Provider Demographics
NPI:1639172786
Name:SORIANO, MARK H (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:H
Last Name:SORIANO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5219 CITY BANK PKWY
Mailing Address - Street 2:STE 35
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3545
Mailing Address - Country:US
Mailing Address - Phone:806-785-2045
Mailing Address - Fax:806-722-2908
Practice Address - Street 1:4004 82ND ST STE F
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2065
Practice Address - Country:US
Practice Address - Phone:806-722-7400
Practice Address - Fax:806-722-7404
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2021-04-22
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Provider Licenses
StateLicense IDTaxonomies
TXJ9818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG19819Medicare UPIN