Provider Demographics
NPI:1336155522
Name:SOKAL, JOSEPH OTTO (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:OTTO
Last Name:SOKAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8441 STATE HIGHWAY 47
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-3207
Mailing Address - Country:US
Mailing Address - Phone:979-774-8200
Mailing Address - Fax:979-776-6905
Practice Address - Street 1:8441 STATE HIGHWAY 47
Practice Address - Street 2:SUITE 1100
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-3207
Practice Address - Country:US
Practice Address - Phone:979-774-8200
Practice Address - Fax:979-776-6905
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD468072084P0800X
TX429812084P0800X
ARE-55282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX211496901Medicaid
AR168433001Medicaid
MD353041800Medicaid
TX8CH756OtherBCBS
TX211496901Medicaid
TX8CH756OtherBCBS
MD353041800Medicaid
MDG15100Medicare UPIN
AR5H084Medicare PIN