Provider Demographics
NPI:1720359391
Name:REITMEYER, SONAL
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:
Last Name:REITMEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 INWOOD RD
Mailing Address - Street 2:NC 2.852
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9015
Mailing Address - Country:US
Mailing Address - Phone:214-645-2682
Mailing Address - Fax:214-645-2673
Practice Address - Street 1:2201 INWOOD RD
Practice Address - Street 2:NC 2.852
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9015
Practice Address - Country:US
Practice Address - Phone:214-645-2682
Practice Address - Fax:214-645-2673
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363571835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology