Provider Demographics
NPI:1255141909
Name:SOSBEE, GARRETT
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:SOSBEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 FAIRVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6032
Mailing Address - Country:US
Mailing Address - Phone:469-371-3823
Mailing Address - Fax:
Practice Address - Street 1:1610 S MALCOLM X BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-2101
Practice Address - Country:US
Practice Address - Phone:214-731-6838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator