Individual
DR. MARK SEPEHR SAMII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122539, DEPT 2539, DALLAS, TX 75312-2539
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT200512
PA
Other
Enumeration date
06/20/2011
Last updated
10/02/2014
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