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1518924968

NPI Code Detail

MEDICARE: STEVEN J. SENEVEY M.D.

MEDICARE: STEVEN J. SENEVEY 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
1	208000000X	Pediatrics Physician	D2591	TX
2	2080A0000X	Pediatric Adolescent Medicine Physician	D2591	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83224X	OTHER	TX	BCBS
2	BCBS-TX	OTHER	TX	8FE404
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	10028674	OTHER	TX	AMERIGROUP
7	4138420	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1518924968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN J. SENEVEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 99371
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76199-0371
Country	:	US
Telephone Number	:	682-885-1855
Fax Number	:	682-885-7347

Provider Business Practice Location Address
First Line	:	5708 EDWARDS RANCH RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4115
Country	:	US
Telephone Number	:	817-336-4040
Fax Number	:	817-336-6780

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	10/09/2015

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Directions to “ STEVEN J. SENEVEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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