Healthcare Provider Details

I. General information

NPI: 1477991487
Provider Name (Legal Business Name): SARAH HOQUE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 1010
HOUSTON TX
77030-5301
US

IV. Provider business mailing address

6410 FANNIN ST STE 1010
HOUSTON TX
77030-5301
US

V. Phone/Fax

Practice location:
  • Phone: 832-725-7080
  • Fax: 713-512-2239
Mailing address:
  • Phone: 832-325-7080
  • Fax: 713-512-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberS2597
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberS2597
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: