Individual
JASIME SONNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 HARWIN DR STE 167, HOUSTON, TX 77036-1561
(346) 571-5688
Mailing address
10333 HARWIN DR STE 167, HOUSTON, TX 77036-1561
(346) 571-5688
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171MOOOOOX
—
TX
Enumeration date
03/14/2019
Last updated
04/25/2019
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