Basic Information
| Provider Information | |||||||||
| NPI: | 1225440399 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOLINA PAREDES | ||||||||
| FirstName: | SONARIS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 SOLANA BLVD | ||||||||
| Address2: | BLDG. 2, SUITE 2200 | ||||||||
| City: | WESTLAKE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177676198 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3280 JOE BATTLE BLVD | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799382622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158322000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2014 | ||||||||
| LastUpdateDate: | 09/29/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 4872036 | PR | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | R3917 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.