Provider Demographics
NPI:1659047884
Name:SEAY, BAILEY STEVEN
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:STEVEN
Last Name:SEAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 WILDCAT DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-2816
Mailing Address - Country:US
Mailing Address - Phone:361-643-1514
Mailing Address - Fax:
Practice Address - Street 1:1600 WILDCAT DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-2816
Practice Address - Country:US
Practice Address - Phone:361-643-1514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician