Provider Demographics
NPI:1588801724
Name:JEREMY W. SZETO, D.O., P.A.
Entity Type:Organization
Organization Name:JEREMY W. SZETO, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SZETO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-242-6900
Mailing Address - Street 1:1429 HIGHWAY 6
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4908
Mailing Address - Country:US
Mailing Address - Phone:281-242-6900
Mailing Address - Fax:
Practice Address - Street 1:1429 HIGHWAY 6
Practice Address - Street 2:SUITE 301
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4908
Practice Address - Country:US
Practice Address - Phone:281-242-6900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty