Provider Demographics
NPI:1134804917
Name:SONNOF HEALTHCARE
Entity type:Organization
Organization Name:SONNOF HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ODUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADUNNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-900-8225
Mailing Address - Street 1:4425 W AIRPORT FWY STE 207
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5831
Mailing Address - Country:US
Mailing Address - Phone:214-900-8225
Mailing Address - Fax:
Practice Address - Street 1:4425 W AIRPORT FWY STE 207
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5831
Practice Address - Country:US
Practice Address - Phone:214-900-8225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center