Provider Demographics
NPI:1033501648
Name:BAUL, SONYA
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:BAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1307 WILBURFORCE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2073
Mailing Address - Country:US
Mailing Address - Phone:832-477-1417
Mailing Address - Fax:866-784-1258
Practice Address - Street 1:1307 WILBURFORCE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2073
Practice Address - Country:US
Practice Address - Phone:832-477-1417
Practice Address - Fax:866-784-1258
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide