Provider Demographics
NPI:1083154611
Name:SOSA, STEVE EDWARD
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:EDWARD
Last Name:SOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 MISTY WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-6411
Mailing Address - Country:US
Mailing Address - Phone:830-313-3772
Mailing Address - Fax:
Practice Address - Street 1:2226 MISTY WILLOW DR
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6411
Practice Address - Country:US
Practice Address - Phone:830-313-3772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies