Provider Demographics
NPI:1063498491
Name:SULAIMAN, JASMINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:
Last Name:SULAIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:P.S
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:207 EAST CROCKETT
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4010
Mailing Address - Country:US
Mailing Address - Phone:281-592-2224
Mailing Address - Fax:281-592-2225
Practice Address - Street 1:207 EAST CROCKETT
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4010
Practice Address - Country:US
Practice Address - Phone:281-592-2224
Practice Address - Fax:281-592-2225
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2482207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G97010Medicare UPIN
TX8F2479Medicare ID - Type Unspecified