Provider Demographics
NPI:1518039965
Name:SONBOL, YASSIR A (MD)
Entity Type:Individual
Prefix:MR
First Name:YASSIR
Middle Name:A
Last Name:SONBOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16605 SW FWY STE 420
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-912-3866
Mailing Address - Fax:281-201-6545
Practice Address - Street 1:16605 SW. FWY STE 420
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-912-3866
Practice Address - Fax:281-201-6545
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46287207RC0000X
TXP1024207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1518039965OtherNPI