MEDICARE: DR. SCOTT ERIC SEGAL MD

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	207W00000X	Ophthalmology Physician	K6305	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

General Provider Information

NPI Number	:	1154373942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ERIC SEGAL MD

Provider Business Mailing Address
First Line	:	4450 E SAM HOUSTON PKWY S
Second Line	:	SUITE E
City	:	PASADENA
State	:	TX
Zip	:	77505-3950
Country	:	US
Telephone Number	:	713-473-5715
Fax Number	:	713-473-3314

Provider Business Practice Location Address
First Line	:	4450 E SAM HOUSTON PKWY S
Second Line	:	SUIT E
City	:	PASADENA
State	:	TX
Zip	:	77505-3950
Country	:	US
Telephone Number	:	713-473-5715
Fax Number	:	713-473-3314

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	10/23/2015

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