Provider Demographics
NPI:1841580800
Name:SONJA KRISTIANSEN, M.D. PA
Entity Type:Organization
Organization Name:SONJA KRISTIANSEN, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DEPT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-862-6181
Mailing Address - Street 1:9055 KATY FWY STE 450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1697
Mailing Address - Country:US
Mailing Address - Phone:713-862-6181
Mailing Address - Fax:713-827-0994
Practice Address - Street 1:9055 KATY FWY STE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1697
Practice Address - Country:US
Practice Address - Phone:713-862-6181
Practice Address - Fax:713-827-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7623174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1073608295OtherNPI