Provider Demographics
NPI:1043589435
Name:SOBIA NASIR MD PA
Entity Type:Organization
Organization Name:SOBIA NASIR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOBIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-383-0714
Mailing Address - Street 1:PO BOX 4290
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-4290
Mailing Address - Country:US
Mailing Address - Phone:956-383-0714
Mailing Address - Fax:956-383-4222
Practice Address - Street 1:702 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3242
Practice Address - Country:US
Practice Address - Phone:956-383-0714
Practice Address - Fax:956-383-4222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Q00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300665202OtherTHSTEPS (MEDICAID)
TX300665201Medicaid
TX0069ZDOtherGROUP BCBS
TXDU3888OtherRR MEDICARE
TXTXB144835Medicare PIN