Provider Demographics
NPI:1467910570
Name:SEAXON LLC
Entity Type:Organization
Organization Name:SEAXON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZEQUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-515-7058
Mailing Address - Street 1:23501 CINCO RANCH BLVD STE H120 PMB 265
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3109
Mailing Address - Country:US
Mailing Address - Phone:281-825-7899
Mailing Address - Fax:
Practice Address - Street 1:5231 SHADOW BREEZE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4870
Practice Address - Country:US
Practice Address - Phone:786-515-7058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty