MEDICARE: DR. CESAR AUGUSTO SEVILLA 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	207X00000X	Orthopaedic Surgery Physician	G2479	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00173648	OTHER	TX	RAILROAD GBA - RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	097977504	OTHER	TX	INDIVIDUAL TPI NUMBER
2	MDG2479TX	OTHER	TX	WORKERS COMPENSATION
3	TXB136894	OTHER	TX	GROUP PTAN NUMBER
4	287506401	OTHER	TX	TPI GROUP NUMBER
6	TXB136895	OTHER	TX	INDIVIDUAL PTAN NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8G6217	OTHER	TX	BC/BS TX#
9	TXB150867	OTHER	TX	GROUP PTAN NUMBER

General Provider Information

NPI Number	:	1720042633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CESAR AUGUSTO SEVILLA MD

Provider Business Mailing Address
First Line	:	7119 SAVANNAH GLEN LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7347
Country	:	US
Telephone Number	:	409-771-9227
Fax Number	:

Provider Business Practice Location Address
First Line	:	7324 SOUTHWEST FWY STE 1423
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2172
Country	:	US
Telephone Number	:	409-771-9227
Fax Number	:	281-762-2732

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	05/28/2020

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