Healthcare Provider Details

I. General information

NPI: 1073207775
Provider Name (Legal Business Name): SOHAIL JALAL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 TOWN CENTER BLVD S STE B
SUGAR LAND TX
77479-1285
US

IV. Provider business mailing address

3521 TOWN CENTER BLVD S STE B
SUGAR LAND TX
77479-1285
US

V. Phone/Fax

Practice location:
  • Phone: 713-772-1212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DOROTHEA PARKS
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 832-890-7225