Healthcare Provider Details

I. General information

NPI: 1811752058
Provider Name (Legal Business Name): SEELA AND JULIAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W MEDICAL CENTER BLVD
WEBSTER TX
77598-4220
US

IV. Provider business mailing address

PO BOX 1204
FRIENDSWOOD TX
77549-1204
US

V. Phone/Fax

Practice location:
  • Phone: 248-224-6307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: ALI EZZO
Title or Position: DR
Credential:
Phone: 248-224-6307