MEDICARE: MICHAEL LEE SONABEND MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	M5515	TX

General Provider Information

NPI Number	:	1578696936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL LEE SONABEND MD

Provider Business Mailing Address
First Line	:	7616 BRANFORD PL STE 240
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3794
Country	:	US
Telephone Number	:	281-240-4313
Fax Number	:	281-240-3646

Provider Business Practice Location Address
First Line	:	7616 BRANFORD PL STE 240
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3794
Country	:	US
Telephone Number	:	281-240-4313
Fax Number	:	281-240-3646

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	01/18/2021

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