Individual
DR. JASON ANDREW SEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11803 SOUTH FWY, SUITE 104, BURLESON, TX 76028-7012
(817) 293-1200
(817) 293-1202
Mailing address
PO BOX 16693, FORT WORTH, TX 76162-0693
(817) 293-1200
(817) 293-1202
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
P3582
TX
207RP1001X
Pulmonary Disease Physician
Primary
P3582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308829601
—
TX
Enumeration date
10/16/2007
Last updated
06/27/2016
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