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NPI Code Detail

MEDICARE: DR. SEZEN A ALTUG M.D.

MEDICARE:  DR. SEZEN A ALTUG  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
1207RG0100XGastroenterology PhysicianJ2860TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15250438OTHERTXAETNA
25425OTHERTXMHHNP PROVIDER #
310041730OTHERTXAMERIGROUP PROVIDER #
48K6292OTHERTXBCBS PROVIDER NUMBER
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710998463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEZEN A ALTUG M.D.
Provider Business Mailing Address
First Line : 1015 MEDICAL CENTER BLVD
Second Line : SUITE 1700
City : WEBSTER
State : TX
Zip : 77598-4011
Country : US
Telephone Number : 281-480-6264
Fax Number : 281-480-4046
Provider Business Practice Location Address
First Line : 1015 MEDICAL CENTER BLVD
Second Line : SUITE 1700
City : WEBSTER
State : TX
Zip : 77598-4052
Country : US
Telephone Number : 281-480-6264
Fax Number : 281-480-4046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 10/20/2009

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Directions to “ DR. SEZEN A ALTUG M.D.” Practice Location

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