Provider Demographics
NPI:1679893291
Name:PATEL, SONYA (LAC)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:LAC
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Mailing Address - Street 1:736 HIGHWAY 6
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5102
Mailing Address - Country:US
Mailing Address - Phone:281-491-0110
Mailing Address - Fax:888-519-3143
Practice Address - Street 1:736 HIGHWAY 6
Practice Address - Street 2:SUITE 103
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5102
Practice Address - Country:US
Practice Address - Phone:281-491-0110
Practice Address - Fax:888-519-3143
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAC00633171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist