MEDICARE: DR. RONA YOFFE SONABEND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0205X	Pediatric Endocrinology Physician	M1412	TX
2	208000000X	Pediatrics Physician	M1412	TX

General Provider Information

NPI Number	:	1508951088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONA YOFFE SONABEND M.D.

Provider Business Mailing Address
First Line	:	3707 GRAMERCY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1215
Country	:	US
Telephone Number	:	832-824-1201
Fax Number	:	832-825-3903

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST STE 1020
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2611
Country	:	US
Telephone Number	:	832-824-1203
Fax Number	:	832-825-3903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/10/2022

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