Individual ProviderSobia YaqubInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1921 Preston Rd Ste 2066, Plano, TX 75093-5200(469) 833-2623PECOS EnrollmentBased on the most recent information from CMS, provider Sobia Yaqub is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1366656993Provider TypeIndividualFull NameYaqub, SobiaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date5/10/2007Last Updated3/2/2024Contact InformationPractice LocationPractice Address1921 Preston Rd Ste 2066, Plano, TX 75093-5200Phone(469) 833-2623Fax(877) 513-4005Mailing LocationMailing Address1921 Preston Rd Ste 2066, Plano, TX 75093-5200Phone(469) 833-2623Fax(877) 513-4005Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseS1310TexasCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35099360OhioProvider IdentifiersIDDescriptionIssuerID0074052DescriptionMedicaidIssuerUnlistedOhioIDP01112538DescriptionOtherIssuerRAILROAD MEDICAREID202045693028DescriptionOtherIssuerCARESOURCE