Individual
AUGUSTO C SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8050 E HIGHWAY 191, SUITE 200, ODESSA, TX 79765-8613
(432) 337-5411
(432) 337-0301
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 337-5411
(432) 561-5014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P3820
TX
208M00000X
Hospitalist Physician
P3820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303435701
—
TX
Enumeration date
06/16/2005
Last updated
11/24/2014
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