Individual
SONIA LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 5TH AVE STE 500, FORT WORTH, TX 76104-7304
(817) 250-4280
Mailing address
800 5TH AVE STE 500, FORT WORTH, TX 76104-7304
(817) 250-4280
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2020
Last updated
10/14/2021
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