Individual
DR. SEZEN A ALTUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 MEDICAL CENTER BLVD, SUITE 1700, WEBSTER, TX 77598-4052
(281) 480-6264
(281) 480-4046
Mailing address
1015 MEDICAL CENTER BLVD, SUITE 1700, WEBSTER, TX 77598-4011
(281) 480-6264
(281) 480-4046
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043765902
—
TX
01
—
10041730
AMERIGROUP PROVIDER #
TX
01
—
5250438
AETNA
TX
01
—
5425
MHHNP PROVIDER #
TX
01
—
8K6292
BCBS PROVIDER NUMBER
TX
Enumeration date
08/10/2006
Last updated
10/20/2009
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