Individual
MRS. KUNJAMMA SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1410 AVENUE F, BAY CITY, TX 77414-3418
(979) 245-1305
(979) 244-4442
Mailing address
101 AVENUE F N, BAY CITY, TX 77414-3167
(979) 245-2008
(979) 217-8829
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G1772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204703 03
—
TX
Enumeration date
12/08/2005
Last updated
06/21/2017
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