Provider Demographics
NPI:1134330418
Name:MANUEL ANTONIO SEAS M.D. P.A.
Entity Type:Organization
Organization Name:MANUEL ANTONIO SEAS M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:SEAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-994-3771
Mailing Address - Street 1:PO BOX 2378
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2378
Mailing Address - Country:US
Mailing Address - Phone:956-994-3771
Mailing Address - Fax:956-994-9082
Practice Address - Street 1:112 ZENAIDA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1621
Practice Address - Country:US
Practice Address - Phone:956-994-3771
Practice Address - Fax:956-994-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG68946Medicare UPIN
8F6942Medicare PIN