Provider Demographics
NPI:1104009042
Name:SEABERG, JOHN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:SEABERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17270 RED OAK DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2632
Mailing Address - Country:US
Mailing Address - Phone:281-440-6960
Mailing Address - Fax:281-440-6205
Practice Address - Street 1:17270 RED OAK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2632
Practice Address - Country:US
Practice Address - Phone:281-880-1411
Practice Address - Fax:281-880-1566
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
TXM7606207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM7606OtherSTATE LICENSE
TXE0172783OtherDPS
TXFS0524101OtherDEA
TXFS0524101OtherDEA