Provider Demographics
NPI:1275951345
Name:WARREN B SEILER, JR.., M.D., P.A.
Entity Type:Organization
Organization Name:WARREN B SEILER, JR.., M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-225-5890
Mailing Address - Street 1:11219 FINANCIAL CENTRE PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3800
Mailing Address - Country:US
Mailing Address - Phone:501-225-5890
Mailing Address - Fax:501-225-2145
Practice Address - Street 1:11219 FINANCIAL CENTRE PKWY
Practice Address - Street 2:SUITE 302
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3800
Practice Address - Country:US
Practice Address - Phone:501-225-5890
Practice Address - Fax:501-225-2145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR25692084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104665001Medicaid
AR74547OtherBLUE CROSS BLUE SHIELD