Provider Demographics
NPI:1922481811
Name:SOSA, LENIS (RN, MSN, OCN)
Entity Type:Individual
Prefix:
First Name:LENIS
Middle Name:
Last Name:SOSA
Suffix:
Gender:M
Credentials:RN, MSN, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12910 CRYSTAL REEF CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3500
Mailing Address - Country:US
Mailing Address - Phone:832-880-8630
Mailing Address - Fax:
Practice Address - Street 1:12910 CRYSTAL REEF CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3500
Practice Address - Country:US
Practice Address - Phone:832-880-8630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX750165163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology