Individual
DR. JOHN DAVID R. SENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
072668
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R1450
TX
208VP0014X
Interventional Pain Medicine Physician
072668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150414A
—
GA
05
—
GA1680
—
SC
Enumeration date
06/14/2012
Last updated
10/15/2020
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