Individual
RICHARD HESTON SEIDEL JR.
Active
Individual
RICHARD HESTON SEIDEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J4508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011163
RAIL ROAD MEDICARE
TX
05
—
104033903
—
TX
05
—
104033907
—
TX
01
—
75-2616977-008
TRICARE
TX
01
—
75-2616977-054
TRICARE
TX
01
—
75-2616977-125
TRICARE
TX
01
—
8GC765
BCBS
TX
Enumeration date
08/15/2006
Last updated
04/21/2017
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