| NPI | 1053936856 |
|---|---|
| Doing Business As | SASOSA PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | LOTTIE M. EVERETT Chief Administrative Officer 972-666-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-08-17 |