Provider Demographics
NPI:1114367323
Name:SONEXUS HEALTH
Entity type:Organization
Organization Name:SONEXUS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISON PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:NIELSEN
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-608-7901
Mailing Address - Street 1:2730 EDMONDS LN
Mailing Address - Street 2:STE 300
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6731
Mailing Address - Country:US
Mailing Address - Phone:972-608-7901
Mailing Address - Fax:
Practice Address - Street 1:2730 EDMONDS LN
Practice Address - Street 2:STE 300
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6731
Practice Address - Country:US
Practice Address - Phone:972-608-7901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45-2992760171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty