Provider Demographics
NPI:1023181716
Name:SEILER, TANYA E (MD)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:E
Last Name:SEILER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MEDICAL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3127
Mailing Address - Country:US
Mailing Address - Phone:361-578-5233
Mailing Address - Fax:361-578-0085
Practice Address - Street 1:110 MEDICAL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3127
Practice Address - Country:US
Practice Address - Phone:361-578-5233
Practice Address - Fax:361-578-0085
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2637207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH63690Medicare UPIN
TX8029B7Medicare ID - Type Unspecified