Provider Demographics
NPI:1619338183
Name:SONIA P EAPEN MD, PA
Entity Type:Organization
Organization Name:SONIA P EAPEN MD, PA
Other - Org Name:TEXAS THYROID AND ENDOCRINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:EAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-485-7200
Mailing Address - Street 1:3231 OAK CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4643
Mailing Address - Country:US
Mailing Address - Phone:281-485-7200
Mailing Address - Fax:281-485-7202
Practice Address - Street 1:8619 BROADWAY ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8782
Practice Address - Country:US
Practice Address - Phone:281-485-7200
Practice Address - Fax:281-485-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6589261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty