Healthcare Provider Details

I. General information

NPI: 1932229911
Provider Name (Legal Business Name): BRIAN DAVID SORIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2007
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5425 W SPRING CREEK PKWY SUITE 275
PLANO TX
75024-4236
US

IV. Provider business mailing address

5425 W SPRING CREEK PKWY SUITE 275
PLANO TX
75024-4236
US

V. Phone/Fax

Practice location:
  • Phone: 972-403-8184
  • Fax: 972-403-0685
Mailing address:
  • Phone: 972-403-8184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number243285-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: