Individual
DR. BRIAN RICK SEABOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Mailing address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L1736
TX
207X00000X
Orthopaedic Surgery Physician
Primary
L1736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144373102
—
TX
Enumeration date
02/16/2006
Last updated
07/27/2020
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