Provider Demographics
NPI:1366501744
Name:SELLIN, JOSEPH H (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:H
Last Name:SELLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 DRYDEN RAOD
Mailing Address - Street 2:SUITE 8.40
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-5398
Mailing Address - Fax:
Practice Address - Street 1:6620 MAIN STREET
Practice Address - Street 2:12TH FLOOR, SUITE 1225
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5398
Practice Address - Fax:713-798-0951
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8666207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132595307Medicaid
TX132595307Medicaid
TX8L6573Medicare PIN
TX8B1808Medicare PIN
TX8L7796Medicare PIN