Provider Demographics
NPI:1689985384
Name:EDWARD FLUNKER
Entity Type:Organization
Organization Name:EDWARD FLUNKER
Other - Org Name:SOVEREIGN EVALUATION GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-409-8508
Mailing Address - Street 1:22136 WESTHEIMER PKWY # 629
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8296
Mailing Address - Country:US
Mailing Address - Phone:281-395-4121
Mailing Address - Fax:
Practice Address - Street 1:22136 WESTHEIMER PKWY # 629
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8296
Practice Address - Country:US
Practice Address - Phone:832-409-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management