Basic Information
| Provider Information | |||||||||
| NPI: | 1336155522 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SOKAL | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | OTTO | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8441 STATE HIGHWAY 47 | ||||||||
| Address2: | SUITE 1100 | ||||||||
| City: | BRYAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 778073207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9797748200 | ||||||||
| FaxNumber: | 9797766905 | ||||||||
| Practice Location | |||||||||
| Address1: | 8441 STATE HIGHWAY 47 | ||||||||
| Address2: | SUITE 1100 | ||||||||
| City: | BRYAN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 778073207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9797748200 | ||||||||
| FaxNumber: | 9797766905 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 05/02/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | D46807 | MD | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | 42981 | TX | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | E-5528 | AR | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 211496901 | 05 | TX | MEDICAID | 168433001 | 05 | AR | MEDICAID | 353041800 | 05 | MD | MEDICAID | 8CH756 | 01 | TX | BCBS | OTHER |