Individual
SOUBHI ALTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
4615 SOUTHWEST FWY STE 1000, HOUSTON, TX 77027-7108
(346) 739-8061
(346) 200-3256
Mailing address
PO BOX 58538, WEBSTER, TX 77598-8538
(346) 739-8061
(346) 200-3256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q7133
TX
207RN0300X
Nephrology Physician
334695
LA
207RN0300X
Nephrology Physician
Primary
Q7133
TX
208M00000X
Hospitalist Physician
Q7133
TX
Other
Enumeration date
08/15/2012
Last updated
11/15/2024
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