Provider Demographics
NPI:1841768082
Name:SETO, TSZ
Entity Type:Individual
Prefix:
First Name:TSZ
Middle Name:
Last Name:SETO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 ABBEYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-5088
Mailing Address - Country:US
Mailing Address - Phone:903-316-9121
Mailing Address - Fax:
Practice Address - Street 1:7617 ABBEYWOOD CT
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-5088
Practice Address - Country:US
Practice Address - Phone:903-316-9121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist