1497959068 NPI number — LINDSAY KAY SONSTEIN MD

Table of content: LINDSAY KAY SONSTEIN MD (NPI 1497959068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497959068 NPI number — LINDSAY KAY SONSTEIN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SONSTEIN
Provider First Name:
LINDSAY
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HILBERT
Provider Other First Name:
LINDSAY
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497959068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 UNIVERSITY BLVD
Provider Second Line Business Mailing Address:
SUITE 4.174 JSA
Provider Business Mailing Address City Name:
GALVESTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77555-0566
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-772-4182
Provider Business Mailing Address Fax Number:
409-772-6507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 HARBORSIDE DR
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
GALVESTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77555-1167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-747-1883
Provider Business Practice Location Address Fax Number:
409-747-8579
Provider Enumeration Date:
06/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  M8037 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2775947323 . This is a "MYUTMB 2775947323-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".




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