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NPI Code Detail

MEDICARE: DR. CHARLOTTE MARIE STELLY-SEITZ MD

MEDICARE:  DR. CHARLOTTE MARIE STELLY-SEITZ  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
12081P0010XPediatric Rehabilitation Medicine PhysicianG8980TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3138306907OTHERTXCSHCN
41407857543OTHERTXHTTPS://NPPES.CMS.HHS.GOV/NPPES
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6G8980OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1407857543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLOTTE MARIE STELLY-SEITZ MD
Provider Business Mailing Address
First Line : 14707 EVERGREEN RIDGE WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2333
Country : US
Telephone Number : 832-721-8543
Fax Number :
Provider Business Practice Location Address
First Line : 14707 EVERGREEN RIDGE WAY
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2333
Country : US
Telephone Number : 832-721-8543
Fax Number : 832-742-0114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/03/2022

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Directions to “ DR. CHARLOTTE MARIE STELLY-SEITZ MD” Practice Location

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