Individual
RAUL SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2632
(281) 440-6960
(281) 440-6205
Mailing address
PO BOX 4356, DEPT 665, HOUSTON, TX 77210-4356
(281) 440-6960
(281) 440-6205
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
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