Basic Information
| Provider Information | |||||||||
| NPI: | 1497959068 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SONSTEIN | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HILBERT | ||||||||
| OtherFirstName: | LINDSAY | ||||||||
| OtherMiddleName: | KAY | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 301 UNIVERSITY BLVD | ||||||||
| Address2: | SUITE 4.174 JSA | ||||||||
| City: | GALVESTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775550566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097724182 | ||||||||
| FaxNumber: | 4097726507 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 HARBORSIDE DR | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | GALVESTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775551167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097471883 | ||||||||
| FaxNumber: | 4097478579 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2007 | ||||||||
| LastUpdateDate: | 08/27/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | M8037 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 2775947323 | 01 | MYUTMB 2775947323-COMMERCIAL NUMBER | OTHER |