Sovereign Diagnostic Evaluation Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC

Practice address

22136 Westheimer Pkwy
Suite 629
Katy, TX 77450-8296

Phone

(832) 409-8508

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Edward Flunker

Title

President

Phone

(832) 409-8508

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1023409695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22136 WESTHEIMER PKWY",
            "address_2": "SUITE 629",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508296",
            "telephone_number": "832-409-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22136 WESTHEIMER PKWY",
            "address_2": "SUITE 629",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508296",
            "telephone_number": "832-409-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN DIAGNOSTIC EVALUATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "FLUNKER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-409-8508"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Katy, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.