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NPI 1003022989

NPI 1003022989 : TIMOTHY J. SEHORN, MD PA : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1003022989
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    Entity Type          |    Organization 
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    Legal Business Name  |    TIMOTHY J. SEHORN, MD PA 
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Dates
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    Enumeration Date     |    05/15/2007
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    6560 FANNIN ST STE 1160 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2725
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    Country              |    US
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    Telephone            |    713-790-9151
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    Fax                  |    713-790-0927
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Provider Business Mailing Address
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    Address Line         |    6560 FANNIN ST STE 1160 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2725
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    Country              |    US
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    Telephone            |    713-790-9151
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    Fax                  |    713-790-0927
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. HOLLY K DIEDRICH 
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    Credential           |    
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    Telephone            |    713-790-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    L1457
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    License Number State |    TX
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