Basic Information
| Provider Information | |||||||||
| NPI: | 1558898395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MONJAZEB | ||||||||
| FirstName: | SEENA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5310 HARVEST HILL RD STE 29 | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752305806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142400650 | ||||||||
| FaxNumber: | 4097725462 | ||||||||
| Practice Location | |||||||||
| Address1: | 17300 EL CAMINO REAL STE 103 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770582743 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4097727063 | ||||||||
| FaxNumber: | 4097478579 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2017 | ||||||||
| LastUpdateDate: | 06/18/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | BP10060897 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207N00000X | BP10060897 | TX | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.