MEDICARE: BRANDON SZETO 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	S0233	TX

General Provider Information

NPI Number	:	1417290297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON SZETO MD

Provider Business Mailing Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 N WALDROP DR STE 509
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4703
Country	:	US
Telephone Number	:	817-394-4300
Fax Number	:	817-394-0200

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

Provider Enumeration Date	:	03/31/2013
Last Update Date	:	07/02/2019

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