Provider Demographics
NPI:1154511087
Name:SANDIFER, SONYA A
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:A
Last Name:SANDIFER
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 1:8353 LONDONDERRY LANE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-6028
Mailing Address - Country:US
Mailing Address - Phone:214-320-7200
Mailing Address - Fax:214-320-7203
Practice Address - Street 1:8353 LONDONDERRY LANE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6028
Practice Address - Country:US
Practice Address - Phone:214-320-7200
Practice Address - Fax:214-320-7203
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health