Provider Demographics
NPI:1063907665
Name:SLEEMAN, SOMER
Entity type:Individual
Prefix:
First Name:SOMER
Middle Name:
Last Name:SLEEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N BLUE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76088-3881
Mailing Address - Country:US
Mailing Address - Phone:817-975-6746
Mailing Address - Fax:
Practice Address - Street 1:515 N BLUE MEADOW CT
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76088-3881
Practice Address - Country:US
Practice Address - Phone:817-975-6746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor