Provider Demographics
NPI:1134693781
Name:SEAY, RUSSELL (FNP-C)
Entity Type:Individual
Prefix:
First Name:RUSSELL
Middle Name:
Last Name:SEAY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 KATY FWY STE 170
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2261
Mailing Address - Country:US
Mailing Address - Phone:713-802-0801
Mailing Address - Fax:713-802-0105
Practice Address - Street 1:5151 KATY FWY STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2261
Practice Address - Country:US
Practice Address - Phone:713-802-0801
Practice Address - Fax:713-802-0105
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily