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Organization
SEGUIN TEXAS EMERGENCY PHYSICIANS PA
Active
Organization
SEGUIN TEXAS EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ROBERTS MD (PRESIDENT)
(512) 452-8533
Entity
Organization
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-2411
Mailing address
6300 LA CALMA DR, SUITE 200, AUSTIN, TX 78752-3843
(512) 452-8533
(512) 452-9306
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077MY
BCBS
TX
01
—
0089NC
BCBS
TX
05
—
178981001
—
TX
01
—
178981002
CSHCN
TX
Enumeration date
06/03/2006
Last updated
06/16/2009
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