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NPI Code Detail

MEDICARE: THOMAS JOHN SEW PA-C

MEDICARE: THOMAS JOHN SEW PA-C
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
1363A00000XPhysician AssistantPA10042TX

General Provider Information

NPI Number : 1689057242
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JOHN SEW PA-C
Provider Business Mailing Address
First Line : 2 GREENWAY PLZ STE 300
Second Line :
City : HOUSTON
State : TX
Zip : 77046-0207
Country : US
Telephone Number : 832-828-3660
Fax Number :
Provider Business Practice Location Address
First Line : 7400 FANNIN ST STE 700
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1947
Country : US
Telephone Number : 713-796-1600
Fax Number : 713-796-0397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 10/21/2021

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Directions to “ THOMAS JOHN SEW PA-C” Practice Location

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