# SEAN D WENGROFF, MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891758462
- **Authorized official:** SEAN D WENGROFF MD (OWNER)
- **Authorized official phone:** (409) 935-5926

## Contact information

- **Practice address:** 6409 MEMORIAL DR, TEXAS CITY, TX 77591-4017
- **Practice address phone:** (409) 935-5926
- **Practice address fax:** (409) 935-5840
- **Mailing address:** PO BOX 293869, KERRVILLE, TX 78029-3869
- **Mailing address phone:** (409) 935-5926
- **Mailing address fax:** (409) 935-5840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | L4167 | TX | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 10/23/2012