SOS HEALTHCARE CENTER, INC. (NPI# 1609004381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609004381 |
| Entity Type | Organization |
| Organization Name | SOS HEALTHCARE CENTER, INC. |
| Practice Address |
980 N Walnut Creek Dr Suite 100 Mansfield TX 76063-8019 |
| Mailing Address |
304 E Broad St Mansfield TX 76063-1706 |
| Practice Telephone | 8174775700 |
| Practice Fax Number | 8174779122 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | MR. CHARLES C STIDHAM JR. (CEO) |
| Authorized Official Telephone | 8174779494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
980 N WALNUT CREEK DR SUITE 100 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497134605 | Expedian Family Care, Pa | Family Medicine | 980 N Walnut Creek Dr, Suite 100, Mansfield, TX 76063-8019 | 2015-05-20 |
| 1679824130 | Vicki Allison Barrington | Nurse Practitioner | 980 N Walnut Creek Dr, Mansfield, TX 76063-8019 | 2012-09-25 |
| 1720379084 | Mc Health Pllc | Clinic/Center | 980 N Walnut Creek Dr, Suite 100, Mansfield, TX 76063-8019 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285844035 | Wallace B Norton | General Practice | 931 Cardinal Rd, Mansfield, TX 76063-6318 | 2007-05-23 |
| 1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
| 1811543671 | Ohio Opiate Recovery | General Practice | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2019-08-16 |
| 1720091838 | Maria Luisa Cruz | General Practice | 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 | 2006-08-14 |
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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.