NPI: 1053936856 · CARROLLTON, TX 75006 · Family Medicine Physician · NPI assigned 06/08/2020
| Authorized Official | EVERETT, LOTTIE (CHIEF ADMINISTRATIVE OFFICER) |
| Parent Organization | SASOSA PROFESSIONAL CORPORATION |
| NPI Enumeration Date | 06/08/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 100 | $471.00 |
| 2021 | 65 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99349 | 165 | 128 | $2K |