Provider Demographics
NPI:1033254818
Name:SOPHIA L. BURNS, MD.,P.A.
Entity Type:Organization
Organization Name:SOPHIA L. BURNS, MD.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-384-1913
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:ALIEF
Mailing Address - State:TX
Mailing Address - Zip Code:77411-0233
Mailing Address - Country:US
Mailing Address - Phone:713-384-1913
Mailing Address - Fax:713-513-5858
Practice Address - Street 1:14897 SOUTHWEST FWY
Practice Address - Street 2:STE. A106
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5016
Practice Address - Country:US
Practice Address - Phone:713-384-1913
Practice Address - Fax:713-513-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1449174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty