Provider Demographics
NPI:1629569561
Name:DURRANT, SOJIN (MS)
Entity Type:Individual
Prefix:
First Name:SOJIN
Middle Name:
Last Name:DURRANT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13011 MCCALLEN PASS BLDG A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5381
Mailing Address - Country:US
Mailing Address - Phone:801-318-0203
Mailing Address - Fax:
Practice Address - Street 1:13011 MCCALLEN PASS BLDG A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5381
Practice Address - Country:US
Practice Address - Phone:801-318-0203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-26
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS