SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC (NPI# 1023409695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023409695 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC |
| Practice Address |
22136 Westheimer Pkwy Suite 629 Katy TX 77450-8296 |
| Practice Telephone | 8324098508 |
| Mailing Telephone | 8324098508 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | EDWARD FLUNKER (PRESIDENT) |
| Authorized Official Telephone | 8324098508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
22136 WESTHEIMER PKWY SUITE 629 |
| City | KATY |
| State | TX |
| Zip Code | 77450-8296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942441902 | Dawn Jenkins | Social Worker | 22136 Westheimer Pkwy, Suite 456, Katy, TX 77450-8296 | 2009-03-20 |
| 1467846097 | Premier Physician Services Pllc | Internal Medicine | 22136 Westheimer Pkwy, Suite # 850, Katy, TX 77450-8296 | 2015-03-20 |
| 1376957274 | Hpt Healthcare LLC. | Urology | 22136 Westheimer Pkwy, Suite 453, Katy, TX 77450-8296 | 2014-06-18 |
| 1932427861 | Surgipac Services LLC | Physician Assistant | 22136 Westheimer Pkwy, #758, Katy, TX 77450-8296 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| 1265868210 | Comprehensive Wellness Intentions | General Practice | 21700 Kingsland Blvd Ste 106, Katy, TX 77450-2546 | 2013-09-23 |
| 1659602316 | Steven Forrest Hotze | General Practice | 20214 Braidwood Dr Ste 215, Katy, TX 77450-2140 | 2010-01-20 |
| 1750568010 | Youthful Essence Medical Skin And | General Practice | 414 W Grand Pkwy S, Ste 115, Katy, TX 77494-8351 | 2008-01-29 |
| 1316127368 | Laura D. Edwards | General Practice | 848 Dominion Dr Ste 200, Katy, TX 77450-2083 | 2007-11-07 |
| 1225246846 | Michael Sargent | General Practice | 21937 Katy Fwy, Katy, TX 77450-1738 | 2007-05-18 |
| 1588714851 | Edward Fred Bartsch | General Practice | 5207 E 5th St, Katy, TX 77493-2119 | 2007-01-11 |
| 1518950849 | Laura D Edwards Md Pa | General Practice | 848 Dominion Dr, Suite 200, Katy, TX 77450-2023 | 2005-08-23 |
| 1609330950 | Mercy-teddy Health Care LLC | General Practice | 25311 Kingsland Blvd Ste 190, Katy, TX 77494-7349 | 2019-01-30 |
| 1932632536 | Spar Therapy Service Texas Inc | General Practice | 21398 Provincial Blvd, Katy, TX 77450-7580 | 2017-04-10 |
| Find all providers in KATY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.