Boren, Sunni S.

Boren, Sunni S. is an individual health care provider with primary practice located at 2017 Rickety Ln , Tyler TX 75703-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Boren, Sunni S. can be contacted via phone (903) 533-8811.

Contact Information

Primary practice address
2017 Rickety Ln Tyler TX 75703-1706
Phone: (903) 533-8811
Fax: (903) 593-5511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L6801 Texas

Profile Details

NPI number 1164586509
LBN Legal business name Boren, Sunni S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164586509 NPPES
Texas MEDICAID 171414902

Popular Providers