Provider Demographics
NPI:1104859073
Name:SEBESTYEN, CHRISTINA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:SEBESTYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 RENFERT WAY
Mailing Address - Street 2:STE 330
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5374
Mailing Address - Country:US
Mailing Address - Phone:512-425-3825
Mailing Address - Fax:512-425-3829
Practice Address - Street 1:12221 RENFERT WAY
Practice Address - Street 2:STE 330
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5374
Practice Address - Country:US
Practice Address - Phone:512-425-3825
Practice Address - Fax:512-425-3829
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2085207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30204255Medicaid
TX189184801Medicaid
RE7724Medicare ID - Type Unspecified
TX189184801Medicaid
NH30204255Medicaid