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Individual

INDAL SEUDEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2101 PEASE ST, HARLINGEN, TX 78550-8307
(956) 389-5000
(956) 389-6567
Mailing address
2101 PEASE ST STE 1G, HARLINGEN, TX 78550-8307
(956) 389-5000
(956) 389-6567

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J7664
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
J7664
TX
207RP1001X
Pulmonary Disease Physician
J7664
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138018012
TX
05
177894601
TX
Enumeration date
08/17/2006
Last updated
04/03/2019
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