MEDICARE: JEREMY W. SZETO, D.O., P.A.

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
1	207Q00000X	Family Medicine Physician	M4962	TX

General Provider Information

NPI Number	:	1588801724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEREMY W. SZETO, D.O., P.A.

Provider Business Mailing Address
First Line	:	1429 HIGHWAY 6
Second Line	:	SUITE 301
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4908
Country	:	US
Telephone Number	:	281-242-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 HIGHWAY 6
Second Line	:	SUITE 301
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4908
Country	:	US
Telephone Number	:	281-242-6900
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JEREMY W SZETO
Credential	:	D.O.
Telephone Number	:	281-242-6900

Provider Enumeration Date	:	01/09/2009
Last Update Date	:	01/09/2009

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