Healthcare Provider Details

I. General information

NPI: 1104846450
Provider Name (Legal Business Name): JOHN J SEGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6624 FANNIN ST STE 1910
HOUSTON TX
77030-2312
US

IV. Provider business mailing address

6624 FANNIN ST STE 1910
HOUSTON TX
77030-2312
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-9444
  • Fax: 713-791-9555
Mailing address:
  • Phone: 713-791-9444
  • Fax: 713-791-9555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberF450
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: