Provider Demographics
NPI:1336326255
Name:O'MEARA, SEAN MATTHEW (DPM)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:MATTHEW
Last Name:O'MEARA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1397 GEORGE DIETER DR STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7681
Mailing Address - Country:US
Mailing Address - Phone:915-503-2020
Mailing Address - Fax:915-996-9574
Practice Address - Street 1:1397 GEORGE DIETER DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7681
Practice Address - Country:US
Practice Address - Phone:915-503-2020
Practice Address - Fax:915-996-9574
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1847213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery