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NPI Code Detail

MEDICARE: SARAH ELIZABETH SELLECK M.D.

MEDICARE:   SARAH ELIZABETH SELLECK  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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianJ9553TX

General Provider Information

NPI Number : 1275564890
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH SELLECK M.D.
Provider Business Mailing Address
First Line : 1709 DRYDEN RD
Second Line : #850
City : HOUSTON
State : TX
Zip : 77030-2400
Country : US
Telephone Number : 713-798-3967
Fax Number : 713-798-8317
Provider Business Practice Location Address
First Line : 3601 N MACGREGOR WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77004-8004
Country : US
Telephone Number : 713-873-4895
Fax Number : 713-873-4896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/13/2024

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Directions to “ SARAH ELIZABETH SELLECK M.D.” Practice Location

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