Individual
TEENA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 648-3903
(214) 648-2481
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3903
(214) 648-2481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT195304
PA
2080P0206X
Pediatric Gastroenterology Physician
MD040335
DC
2080P0206X
Pediatric Gastroenterology Physician
Primary
Q4842
TX
Other
Enumeration date
07/30/2009
Last updated
02/02/2016
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