Individual
SOPHIE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6560 FANNIN, SUITE 2100, HOUSTON, TX 77030
(713) 798-4637
Mailing address
6560 FANNIN, SUITE 2100, HOUSTON, TX 77030
(713) 798-4637
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M6132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186632904
—
TX
01
—
8BZ370
BLUE CROSS BLUE SHIELD
TX
01
—
P00968054
RR MEDICARE
TX
01
—
P01063001
RAILROAD MEDICARE
TX
Enumeration date
05/21/2007
Last updated
11/12/2012
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