Individual
JEREMY S SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
708 WEST BEN WHITE BLVD, STE 150, AUSTIN, TX 78704-7048
(737) 406-7312
(512) 406-7312
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1098
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M8983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199215801
—
TX
05
—
199215803
—
TX
05
—
199215804
—
TX
05
—
199215805
—
TX
01
—
8BL260
BCBS
TX
Enumeration date
03/05/2008
Last updated
06/16/2026
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