Organization
JACK D. SEIDEL, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK SEIDEL M.D. (PRESIDENT)
(972) 243-5437
Entity
Organization
Contact information
Practice address
4100 ALPHA RD STE 650, FARMERS BRANCH, TX 75244-4381
(972) 243-5437
Mailing address
4100 ALPHA RD STE 650, FARMERS BRANCH, TX 75244-4381
(972) 243-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H3940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P000K94L2
—
TX
Enumeration date
06/18/2006
Last updated
07/14/2021
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