Basic Information
| Provider Information | |||||||||
| NPI: | 1508836206 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PAPAGEORGE | ||||||||
| FirstName: | SEVA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16651 SOUTHWEST FWY | ||||||||
| Address2: | SUITE 450 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812750800 | ||||||||
| FaxNumber: | 2812750801 | ||||||||
| Practice Location | |||||||||
| Address1: | 16651 SOUTHWEST FWY | ||||||||
| Address2: | SUITE 450 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774792345 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812750800 | ||||||||
| FaxNumber: | 2812750801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 04/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | K7195 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 045858001 | 05 | TX | MEDICAID | 045858002 | 05 | TX | MEDICAID | 8EF699 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 8CE299 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 045858003 | 05 | TX | MEDICAID | P01251816 | 01 | TX | MEDICARE RR | OTHER | 045858004 | 05 | TX | MEDICAID | P01314176 | 01 | TX | RR MEDICARE | OTHER |