Provider Demographics
NPI:1518106459
Name:BYRUM, SONIA (CSFA)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:BYRUM
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 LONE DOVE CT.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:832-888-0912
Mailing Address - Fax:832-888-0912
Practice Address - Street 1:4027 LONE DOVE CT.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:832-888-0912
Practice Address - Fax:832-888-0912
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX139596246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant