MEDICARE: JOSEPH H SELLIN 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	207RG0100X	Gastroenterology Physician	F8666	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	:	1366501744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH H SELLIN MD

Provider Business Mailing Address
First Line	:	1709 DRYDEN RAOD
Second Line	:	SUITE 8.40
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-798-5398
Fax Number	:

Provider Business Practice Location Address
First Line	:	6620 MAIN STREET
Second Line	:	12TH FLOOR, SUITE 1225
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-798-5398
Fax Number	:	713-798-0951

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	12/26/2012

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