Individual provider Active NPI

Sonny Huitron, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1023201993
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
Q1418 Issued in TX
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

Updated by the provider on Aug 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q1418TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathlink of Texas, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 27, 2022 Accepting new patients
Rio Grande Urology PA CurrentSince Jun 1, 2019 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.

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

Verify at the official NPI Registry.