Individual
MR. SONNY JOHN STETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., CSA
Contact information
Practice address
3524 OMEARA DR, HOUSTON, TX 77025-5558
(713) 909-9390
Mailing address
3524 OMEARA DR, HOUSTON, TX 77025-5558
(713) 909-9390
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
12-181
TX
246ZS0410X
Surgical Technologist
12-181
TX
Other
Enumeration date
05/01/2013
Last updated
09/11/2013
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