Provider Demographics
NPI:1164675096
Name:SONYA WOLFF SORENSEN, DO, PA
Entity Type:Organization
Organization Name:SONYA WOLFF SORENSEN, DO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-948-9286
Mailing Address - Street 1:502 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4720
Mailing Address - Country:US
Mailing Address - Phone:214-948-9286
Mailing Address - Fax:972-283-0282
Practice Address - Street 1:502 W 10TH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4720
Practice Address - Country:US
Practice Address - Phone:214-948-9286
Practice Address - Fax:972-283-0282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXGO151261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care