Sos Healthcare Center, Inc.

Organization Active NPI General Practice Physician · Mansfield, TX

NPI 1609004381 · NPPES record last updated Jul 1, 2009

Key facts

NPI
1609004381
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
SOS HEALTHCARE CENTER, INC.
Practice address
980 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8019
Phone
(817) 477-5700
Fax
(817) 477-9122
NPI assigned
Jul 1, 2009
Organization subpart
No

Authorized official

Name
Mr. Charles C Stidham Jr.
Title
Ceo
Phone
(817) 477-9494

National Provider Directory

Locations

304 E Broad St
Mansfield, TX 76063

980 N Walnut Creek Dr
Ste 100
Mansfield, TX 76063
Phone (817) 453-5437

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

980 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8019

Mailing address

304 E Broad St
Mansfield, TX 76063-1706

Other providers in Mansfield, TX

All providers in Mansfield, TX · General Practice Physician in Texas

Sources for this page

Verify at the official NPI Registry.