Provider Demographics
NPI:1336321686
Name:SEIDENFELD, JOHN JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:SEIDENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SUITE 703 414 NAVARRO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2515
Mailing Address - Country:US
Mailing Address - Phone:210-224-4811
Mailing Address - Fax:210-224-8678
Practice Address - Street 1:SUITE 703 414 NAVARRO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2515
Practice Address - Country:US
Practice Address - Phone:210-224-4811
Practice Address - Fax:210-224-8678
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG6393207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease