Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 19056 | TX |
Y | 204E00000X | Oral & Maxillofacial Surgeon | N9961 | TX |
NPI | 1528108289 |
---|---|
Provider Name | Dr. Andrew M Sohn |
First Address | Trophy Club, TX 76262 |
Second Address | Trophy Club, TX 76262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 11/06/2012 |