MEDICARE: SEBASTIAN CERNA 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
1	207P00000X	Emergency Medicine Physician	J0751	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8P5501	OTHER	TX	BCBSTX PROVIDER NUMBER

General Provider Information

NPI Number	:	1053309476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEBASTIAN CERNA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 203331
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77216-3331
Country	:	US
Telephone Number	:	281-784-1111
Fax Number	:	281-784-1555

Provider Business Practice Location Address
First Line	:	3315 S ALAMEDA ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-1883
Country	:	US
Telephone Number	:	361-857-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	06/08/2010

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