Individual
JUSTIN BENGT SEASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-4958
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S2893
TX
207RP1001X
Pulmonary Disease Physician
Primary
S2893
TX
Other
Enumeration date
04/02/2013
Last updated
12/20/2021
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