Provider Demographics
NPI:1710139712
Name:NASIR, SOBIA (MD)
Entity Type:Individual
Prefix:
First Name:SOBIA
Middle Name:
Last Name:NASIR
Suffix:
Gender:F
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: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
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300666001Medicaid
TXTXB144836OtherMEDICARE
TX8DZ479OtherSOLO BCBS
TXP01270716OtherRR MEDICARE
TXTXB156819Medicare PIN
TXTXB144836OtherMEDICARE