| Sovereign Diagnostic Evaluation Group, Llc | |
|
22136 Westheimer Pkwy Suite 629 Katy TX 77450-8296 | |
| (832) 409-8508 | |
| Not Available |
| Full Name | Sovereign Diagnostic Evaluation Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 22136 Westheimer Pkwy, Katy, Texas |
| Authorized Official Name and Position | Edward Flunker (PRESIDENT) |
| Authorized Official Contact | 8324098508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Diagnostic Evaluation Group, Llc 22136 Westheimer Pkwy Suite 629 Katy TX 77450-8296 Ph: (832) 409-8508 | Sovereign Diagnostic Evaluation Group, Llc 22136 Westheimer Pkwy Suite 629 Katy TX 77450-8296 Ph: (832) 409-8508 |
| NPI Number | 1023409695 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023409695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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