Provider Demographics
NPI:1710982798
Name:SEIFERT, HEIDI J (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:J
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2144
Mailing Address - Country:US
Mailing Address - Phone:713-655-7246
Mailing Address - Fax:713-655-0085
Practice Address - Street 1:7322 SOUTHWEST FWY STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2144
Practice Address - Country:US
Practice Address - Phone:713-655-7246
Practice Address - Fax:713-655-0085
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2318208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00318VOtherPTAN
TX00U37YOtherBC/BS PROVIDER #
TX1608366-01Medicaid
TX355767400OtherU.S. DEPARTMENT OF LABOR#
TX29479OtherAMERIGROUP PROVIDER #
TXP00035803OtherMEDICARE R/R #
TX8A7674Medicare ID - Type UnspecifiedMEDICARE PROVIDER #