Provider Demographics
NPI:1669461299
Name:SOBARZO, ARTURO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:JOSE
Last Name:SOBARZO
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 1:21820 KINGSLAND BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2507
Mailing Address - Country:US
Mailing Address - Phone:281-768-4122
Mailing Address - Fax:281-768-4376
Practice Address - Street 1:21820 KINGSLAND BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2507
Practice Address - Country:US
Practice Address - Phone:281-768-4122
Practice Address - Fax:281-768-4376
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG 7724207L00000X
TXG7724207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX102094301Medicaid
TX102094301Medicaid
TX050077856OtherRAILROAD MEDICARE
TX8195M1OtherBLUE CROSS BLUE SHIELD
AS2951160OtherDEA
TX30057713OtherDPS
TX186743403Medicaid
B26546Medicare UPIN