Individual
JEFFREY T. SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2391 NE LOOP 410 STE 405, SAN ANTONIO, TX 78217-5675
(210) 654-7326
(210) 590-8232
Mailing address
7142 SAN PEDRO AVE STE 120, SAN ANTONIO, TX 78216-6256
(210) 661-5622
(210) 798-6811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
Q7959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359656101
—
TX
01
—
8FY982
BCBS
TX
Enumeration date
05/18/2011
Last updated
08/19/2021
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