Individual
DR. SAID HASSANE SOUBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1464 E WHITESTONE BLVD, SUITE 601, CEDAR PARK, TX 78613-9058
(512) 986-7765
(512) 986-7608
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 986-7765
(512) 986-7768
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L7568
TX
207RP1001X
Pulmonary Disease Physician
Primary
L7568
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L7568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136665601
—
TX
05
—
163665604
—
TX
Enumeration date
05/08/2006
Last updated
11/04/2013
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