Provider Demographics
NPI:1184795288
Name:SULA, NOEL SAYONG (PT)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:SAYONG
Last Name:SULA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5011 E NEWPARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5484
Mailing Address - Country:US
Mailing Address - Phone:832-275-0045
Mailing Address - Fax:713-856-6429
Practice Address - Street 1:5011 E NEWPARK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5484
Practice Address - Country:US
Practice Address - Phone:832-275-0045
Practice Address - Fax:713-856-6429
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1068542225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist