Provider Demographics
NPI:1174882138
Name:NAQVI, SUMBUL (PA)
Entity type:Individual
Prefix:
First Name:SUMBUL
Middle Name:
Last Name:NAQVI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7020 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1928
Mailing Address - Country:US
Mailing Address - Phone:956-627-0135
Mailing Address - Fax:
Practice Address - Street 1:2408 N CONWAY AVE
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574-2347
Practice Address - Country:US
Practice Address - Phone:956-424-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant