| Sorc, Llc | |
|
11811 North Fwy Ste 100 Houston TX 77060-3244 | |
| (419) 378-9212 | |
| Not Available |
| Full Name | Sorc, Llc |
|---|---|
| Speciality | Case Management |
| Location | 11811 North Fwy Ste 100, Houston, Texas |
| Authorized Official Name and Position | Tryna Smoot (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4193789212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorc, Llc 723 Phillips Ave Bldg E Toledo OH 43612-1351 Ph: (419) 407-5981 | Sorc, Llc 11811 North Fwy Ste 100 Houston TX 77060-3244 Ph: (419) 378-9212 |
| NPI Number | 1033536255 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 01/16/2022 |
| Certification Date | 01/16/2022 |
| Medicare PECOS PAC ID | 6709217250 |
|---|---|
| Medicare Enrollment ID | O20210302000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033536255 | NPI | - | NPPES |
| 1134667538 | Medicaid | OH | |
| 1134667538 | Medicaid | MI | |
| 1396076543 | Medicaid | TX | |
| 4226219 | Medicaid | TX | |
| 4234783 | Medicaid | TX | |
| 1134667538 | Medicaid | TX | |
| 1033536255 | Medicaid | TX | |
| 1063629608 | Medicaid | OH | |
| 1063629608 | Medicaid | MI |
| Provider Name | Umecca Diane Cowart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667538 PECOS PAC ID: 7012294689 Enrollment ID: I20210212000297 |
| Provider Name | Latoya Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952726093 PECOS PAC ID: 5395066039 Enrollment ID: I20210302000408 |
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