MEDICARE: SONIA THOMAS PILLAI RN, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP121077	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP117368	TX

General Provider Information

NPI Number	:	1750667101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA THOMAS PILLAI RN, PMHNP

Provider Business Mailing Address
First Line	:	1402 S CUSTER RD STE 202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-1452
Country	:	US
Telephone Number	:	214-252-2430
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 S CUSTER RD STE 202
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-1452
Country	:	US
Telephone Number	:	214-978-6429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	05/11/2019

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