Active NPI
Sonny Huitron, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- Q1418
- Practice address
- 3851 Roger Brooke Drive
McHe-QD(Creds)
Fort Sam Houston, TX 78234-6200 - Phone
- (210) 916-2460
- NPI assigned
- Aug 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Q1418 | TX | Primary |
Addresses
Primary practice location
3851 Roger Brooke Drive
McHe-QD(Creds)
Fort Sam Houston, TX 78234-6200
Mailing address
3851 Roger Brooke Drive
McHe-QD(Creds)
Fort Sam Houston, TX 78234-6200
Phone (210) 916-2460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1418 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathlink of Texas, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Rio Grande Urology PA | Current | Accepting new patients |
Locations
5700 Southwyck Blvd
Toledo, OH 43614
3100 N Lee Trevino Dr
Ste G
El Paso, TX 79936
Phone (915) 225-2456
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800
7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823
7420 Remcon Cir
Bldg 1
El Paso, TX 79912
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- El Paso, TX
- NPI 1245831619
-
- Specialist
- El Paso, TX
- NPI 1750416921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1023201993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DRIVE",
"address_2": "MCHE-QD(CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DRIVE",
"address_2": "MCHE-QD(CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782346200",
"telephone_number": "210-916-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUITRON",
"first_name": "SONNY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "Q1418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.