MEDICARE: MR. TIMOTHY J. SEHORN 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	208600000X	Surgery Physician	L1457	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	:	1679568646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY J. SEHORN MD

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1160
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2725
Country	:	US
Telephone Number	:	713-790-9151
Fax Number	:	713-790-0927

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1160
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2725
Country	:	US
Telephone Number	:	713-790-9151
Fax Number	:	713-790-0927

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/21/2022

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Directions to “ MR. TIMOTHY J. SEHORN MD” Practice Location

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