| Michael Douglas Soderstrom | |
|
2100 Bering Dr Apt 809 Houston TX 77057-3745 | |
| (832) 971-0025 | |
| Not Available |
| Full Name | Michael Douglas Soderstrom |
|---|---|
| Speciality | Counselor |
| Location | 2100 Bering Dr Apt 809, Houston, Texas |
| Authorized Official Name and Position | Michael Douglas Soderstrom (OWNER) |
| Authorized Official Contact | 8329710025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Douglas Soderstrom 2100 Bering Dr Apt 809 Houston TX 77057-3745 Ph: (832) 971-0025 | Michael Douglas Soderstrom 2100 Bering Dr Apt 809 Houston TX 77057-3745 Ph: (832) 971-0025 |
| NPI Number | 1013128974 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013128974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 17891 (Texas) | Primary |
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