Healthcare Provider Details

I. General information

NPI: 1730942434
Provider Name (Legal Business Name): AMAL SEKH SOBH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W GRAND PKWY S STE 4A
KATY TX
77494-8361
US

IV. Provider business mailing address

2719 CARRIAGE HOLLOW LN
KATY TX
77494-6254
US

V. Phone/Fax

Practice location:
  • Phone: 281-709-6075
  • Fax:
Mailing address:
  • Phone: 305-487-1535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: