Basic Information
| Provider Information | |||||||||
| NPI: | 1730288721 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOULE | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8307 KNIGHT RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770543905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132427707 | ||||||||
| FaxNumber: | 7132427752 | ||||||||
| Practice Location | |||||||||
| Address1: | 8307 KNIGHT RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770543905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132427707 | ||||||||
| FaxNumber: | 7132427752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/22/2006 | ||||||||
| LastUpdateDate: | 01/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | F4553 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 2085R0202X | F4553 | TX | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 207Q00000X | F4553 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.