Organization
SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FLUNKER (PRESIDENT)
(832) 409-8508
Entity
Organization
Contact information
Practice address
22136 WESTHEIMER PKWY, SUITE 629, KATY, TX 77450-8296
(832) 409-8508
Mailing address
22136 WESTHEIMER PKWY, SUITE 629, KATY, TX 77450-8296
(832) 409-8508
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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