Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1730 | TX |
NPI | 1033168711 |
---|---|
Provider Name | Mr. Sean A Reyhani |
First Address | Webster, TX 77598-7310 |
Second Address | League City, TX 77573-5100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V06063 | (02) | TX |