| Sovereign T Farm | |
|
799 County Road 706 Buna TX 77612-2543 | |
| (409) 673-6516 | |
| Not Available |
| Full Name | Sovereign T Farm |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 799 County Road 706, Buna, Texas |
| Authorized Official Name and Position | Paula Renee Tacker (OWNER) |
| Authorized Official Contact | 4096736516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign T Farm 799 County Road 706 Buna TX 77612-2543 Ph: (409) 673-6516 | Sovereign T Farm 799 County Road 706 Buna TX 77612-2543 Ph: (409) 673-6516 |
| NPI Number | 1447106802 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 03/09/2026 |
| Certification Date | 03/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447106802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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