Individual
JOHN FORTUNE SEAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-3555
(210) 358-5945
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-3555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F3606
TX
207RC0000X
Cardiovascular Disease Physician
72090
NC
207RC0000X
Cardiovascular Disease Physician
Primary
F3606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114154101
—
TX
05
—
114154108
—
TX
01
—
114154109
CSHCN
TX
01
—
85V355
BCBS
TX
Enumeration date
09/27/2006
Last updated
07/21/2022
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