Healthcare Provider Details

I. General information

NPI: 1346234002
Provider Name (Legal Business Name): SOHAIL JALAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 GESSNER RD STE 585
HOUSTON TX
77024-2527
US

IV. Provider business mailing address

915 GESSNER RD STE 585
HOUSTON TX
77024-2527
US

V. Phone/Fax

Practice location:
  • Phone: 713-827-8710
  • Fax: 713-490-0844
Mailing address:
  • Phone: 713-827-8710
  • Fax: 713-490-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberJ0970
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberJ0970
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: