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Individual

DR. WAHDE SEIJARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSA

Contact information

Practice address
18 WOODLAKE SQ, 208, HOUSTON, TX 77063-3207
(936) 271-2438
(936) 271-2439
Mailing address
18 WOODLAKE SQ, 208, HOUSTON, TX 77063-3207
(936) 271-2438
(936) 271-2439

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00096
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000072JR
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/16/2007
Last updated
07/08/2007
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