MEDICARE: SETH M PROBERT DO

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	208100000X	Physical Medicine & Rehabilitation Physician	U0645	TX
2	390200000X	Student in an Organized Health Care Education/Training Program		TX

General Provider Information

NPI Number	:	1326500851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH M PROBERT DO

Provider Business Mailing Address
First Line	:	653 N TOWN CENTER DR STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0516
Country	:	US
Telephone Number	:	702-254-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 N TOWN CENTER DR STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-0516
Country	:	US
Telephone Number	:	702-254-3020
Fax Number	:

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

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	03/26/2026

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Directions to “ SETH M PROBERT DO” Practice Location

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