Sovereign Diagnostic Evaluation Group, LLC

NPI #1023409695 in Katy, Texas

Provider Information

NPI Number: 1023409695
Entity Type: Organization
Organization Name: Sovereign Diagnostic Evaluation Group, LLC
Primary Specialty: General Practice
Enumeration Date: Feb 18, 2015
Last Updated: Feb 18, 2015

Practice Location

Address: 22136 WESTHEIMER PKWY
Address 2: SUITE 629
City: Katy
State: Texas
ZIP Code: 77450-8296
Phone: (832) 409-8508

Authorized Official

Name: EDWARD FLUNKER
Title: PRESIDENT
Phone: (832) 409-8508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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