Provider Demographics
NPI:1770263535
Name:BALANI, SONAM (APRN)
Entity type:Individual
Prefix:
First Name:SONAM
Middle Name:
Last Name:BALANI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:SONAM
Other - Middle Name:
Other - Last Name:BALANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:LONE STAR PULMONARY AND SLEEP SPECIALISTS
Mailing Address - Street 2:3200 COLORADO BLVD
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-381-0971
Mailing Address - Fax:
Practice Address - Street 1:3200 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-381-0971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020799363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty