Healthcare Provider Details

I. General information

NPI: 1881653541
Provider Name (Legal Business Name): SOFIA RAHMAN MUNIR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOFIA RAHMAN M.D.

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 WYOMING SPGS BLD. 2., SUITE 300A
ROUND ROCK TX
78681-4312
US

IV. Provider business mailing address

7215 WYOMING SPGS BLD. 2., SUITE 300A
ROUND ROCK TX
78681-4312
US

V. Phone/Fax

Practice location:
  • Phone: 512-341-0900
  • Fax: 512-341-2895
Mailing address:
  • Phone: 512-341-0900
  • Fax: 512-341-2895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM0537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: