Healthcare Provider Details

I. General information

NPI: 1720359391
Provider Name (Legal Business Name): SONAL REITMEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 INWOOD RD NC 2.852
DALLAS TX
75390-9015
US

IV. Provider business mailing address

2201 INWOOD RD NC 2.852
DALLAS TX
75390-9015
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-2682
  • Fax: 214-645-2673
Mailing address:
  • Phone: 214-645-2682
  • Fax: 214-645-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number36357
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: