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NPI Code Detail

MEDICARE: SEAN BOUTROS MD PLLC

MEDICARE: SEAN BOUTROS MD PLLC
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
1207Y00000XOtolaryngology Physician
2208200000XPlastic Surgery Physician

General Provider Information

NPI Number : 1255416855
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEAN BOUTROS MD PLLC
Provider Business Mailing Address
First Line : 9230 KATY FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7468
Country : US
Telephone Number : 713-791-0700
Fax Number : 713-791-0703
Provider Business Practice Location Address
First Line : 9230 KATY FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7468
Country : US
Telephone Number : 713-791-0700
Fax Number : 713-791-0703
Authorized Official
Title or Position : DIRECTOR
Name : DR. SEAN BOUTROS
Credential : M.D.
Telephone Number : 713-791-0700
Provider Enumeration Date : 10/25/2006
Last Update Date : 04/30/2024

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Directions to “SEAN BOUTROS MD PLLC ” Practice Location

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