Organization Active NPI

Clinica del Sol PA

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1750557963
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D1496 Issued in TX
Legal business name
CLINICA DEL SOL PA
Practice address
6206 Dashwood Dr
Houston, TX 77081-4214
Phone
(713) 778-1904
Fax
(713) 778-0130
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Selic Soroka, MD
Title
Medical Director
Phone
(713) 778-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X D1496 TX Primary

Addresses

Primary practice location

6206 Dashwood Dr
Houston, TX 77081-4214

Mailing address

6206 Dashwood Dr
Houston, TX 77081-4214
Phone (713) 778-1904

Other identifiers 1

IdentifierTypeStateIssuer
111607101MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1750557963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 DASHWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814214",
            "telephone_number": "713-778-1904",
            "fax_number": "713-778-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 DASHWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814214",
            "telephone_number": "713-778-1904",
            "fax_number": "713-778-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL SOL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "SOROKA",
        "authorized_official_first_name": "SELIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-778-1904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "D1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111607101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.