| Doctor Name: | MRS. SONYA ODETTE CAROTHERS |
| NPI Number: | 1013165059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,RN,FNP-BC |
| License Number: | 547202 |
| Business Practice Address: | 6711 S Fry Rd Katy, TX - 774948100 |
| Business Phone Number: | 7139350333 |
| Business Fax Number: | |
| Mailing Address: | 13530 Schumann Trl, SUGAR LAND |
| State: | TX |
| Postal Code: | 774983495 |
| Phone Number: | 2817040918 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 09/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 547202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |