Organization
CHAD R. SEABOLD, DDS, MD, PA ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD RUSSELL SEABOLD MD, DDS (ORAL AND MAXILLOFACIAL SURGEON)
(713) 981-0000
Entity
Organization
Contact information
Practice address
5959 WEST LOOP SOUTH, SUITE 620, BELLAIRE, TX 77401
(713) 981-0000
Mailing address
5959 WEST LOOP SOUTH, SUITE 620, BELLAIRE, TX 77401
(713) 981-0000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
N1442
TX
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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