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NPI Code Detail

MEDICARE: DR. SEBASTIAN MELO M.D.

MEDICARE: DR. SEBASTIAN MELO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianT5183MS

General Provider Information

NPI Number : 1407550890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEBASTIAN MELO M.D.
Provider Business Mailing Address
First Line : 4499 MEDICAL DR STE 171
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3789
Country : US
Telephone Number : 210-464-7563
Fax Number :
Provider Business Practice Location Address
First Line : 4499 MEDICAL DR STE 171
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3789
Country : US
Telephone Number : 210-464-7563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2023
Last Update Date : 02/17/2026

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Directions to “ DR. SEBASTIAN MELO M.D.” Practice Location

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