Provider Demographics
NPI:1295726271
Name:SOIN, JAGMEET S (MD)
Entity type:Individual
Prefix:
First Name:JAGMEET
Middle Name:S
Last Name:SOIN
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 1:3502 S SPID DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78415-2909
Mailing Address - Country:US
Mailing Address - Phone:361-854-4400
Mailing Address - Fax:361-854-4402
Practice Address - Street 1:3502 S SPID DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78415-2909
Practice Address - Country:US
Practice Address - Phone:361-854-4400
Practice Address - Fax:361-854-4402
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1760207R00000X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00157556OtherRAILROAD MEDICARE
TX8F1972OtherBLUE CROSS BLUE SHIELD
TX1655565Medicaid
TX8F1972OtherBLUE CROSS BLUE SHIELD
TX1655565Medicaid