# SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023409695
- **Authorized official:** EDWARD FLUNKER (PRESIDENT)
- **Authorized official phone:** (832) 409-8508

## Contact information

- **Practice address:** 22136 WESTHEIMER PKWY, SUITE 629, KATY, TX 77450-8296
- **Practice address phone:** (832) 409-8508
- **Mailing address:** 22136 WESTHEIMER PKWY, SUITE 629, KATY, TX 77450-8296
- **Mailing address phone:** (832) 409-8508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015