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General NPI Number Information
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NPI Number | 1790292118
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Entity Type | Organization
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Legal Business Name | PASR, PLLC
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 6435 S FM 549 STE 201
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City | HEATH
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State | TX
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Zip | 75032-6225
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Country | US
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Telephone | 214-771-3712
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Fax | 214-771-3796
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Provider Business Mailing Address
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Address Line | 6435 S FM 549 STE 201
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City | HEATH
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State | TX
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Zip | 75032-6225
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Country | US
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Telephone | 214-771-3712
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Fax | 214-771-3796
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. GREGORY MATTHEW SONNEN
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Credential | MD
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Telephone | 214-771-3712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | J3871
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L2797
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K5213
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License Number State | TX
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