SEBD Professional Support Services – Family Medicine Physician, NPI 1215118609
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SEBD Professional Support Services
630 Highway 71 W Ste E
Bastrop, TX 786024283
Phone: (512) 304-0313
Fax: (512) 304-0326
Type: Location
1345, Philomena Street, Mueller, Austin, Travis County, Texas, 78723, United States
AUSTIN, TX 787233185
Phone: (512) 324-3269
Fax: (512) 406-0719
Type: Mailing
630 Highway 71 W
Bastrop, TX 786024282
Phone: (737) 881-7400
Type: Location
1201A Hill Rd
Smithville, TX 789579533
Phone: (512) 360-5272
Fax: (512) 360-5273
Type: Location
1201 Hill Rd
Smithville, TX 789579533
Phone: (512) 237-3214
Fax: (512) 237-5746
Type: Location
Seton Edgar B. Davis Hospital, 130, Hays Street, Luling, Texas, 78468, United States
LULING, TX 786483207
Phone: (830) 875-7000
Fax: (830) 875-7053
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-26
PECOS data refreshed: 2026-05-27
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78602)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.