Individual
DR. MICHAEL JOSEPH SEBESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 TRANS MOUNTAIN RD, EL PASO, TX 79911
(915) 271-4586
(915) 271-4587
Mailing address
2000 TRANS MOUNTAIN RD STE 120, EL PASO, TX 79911-3601
(915) 271-4586
(915) 271-4587
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101056794
VA
208800000X
Urology Physician
Primary
P2784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512958
—
TN
05
—
303735001
—
TX
01
—
BCBST
4225024
TN
Enumeration date
05/01/2006
Last updated
05/16/2018
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