MEDICARE: SONEXUS HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator	45-2992760	TX

General Provider Information

NPI Number	:	1114367323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONEXUS HEALTH

Provider Business Mailing Address
First Line	:	2730 EDMONDS LN
Second Line	:	STE 300
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-6731
Country	:	US
Telephone Number	:	972-608-7901
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 EDMONDS LN
Second Line	:	STE 300
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-6731
Country	:	US
Telephone Number	:	972-608-7901
Fax Number	:

Authorized Official
Title or Position	:	DIVISON PRESIDENT
Name	:	JAN NIELSEN NIELSEN
Credential	:	RN
Telephone Number	:	972-608-7901

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	07/02/2013

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Directions to “SONEXUS HEALTH ” Practice Location

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