Provider Demographics
NPI:1952309841
Name:OI, SEIJO (MD)
Entity Type:Individual
Prefix:
First Name:SEIJO
Middle Name:
Last Name:OI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306B WESLEY DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5822
Mailing Address - Country:US
Mailing Address - Phone:830-895-9825
Mailing Address - Fax:
Practice Address - Street 1:306B WESLEY DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5822
Practice Address - Country:US
Practice Address - Phone:830-895-9825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42915207RP1001X
TXP2152207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG42915Medicare ID - Type Unspecified
CAA49157Medicare UPIN