Individual
RAUL SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D9284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123640801
—
TX
01
—
B0010715
DPS
TX
01
—
D9284
STATE LICENSE
TX
Enumeration date
11/08/2005
Last updated
03/07/2023
Update your record
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