Provider Demographics
NPI:1154373942
Name:SEGAL, SCOTT ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ERIC
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4450 E SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE E
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3950
Mailing Address - Country:US
Mailing Address - Phone:713-473-5715
Mailing Address - Fax:713-473-3314
Practice Address - Street 1:4450 E SAM HOUSTON PKWY S
Practice Address - Street 2:SUIT E
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3950
Practice Address - Country:US
Practice Address - Phone:713-473-5715
Practice Address - Fax:713-473-3314
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2015-10-23
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Provider Licenses
StateLicense IDTaxonomies
TXK6305207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045783001Medicaid
TX045783001Medicaid
TXG70175Medicare UPIN