Provider Demographics
NPI:1649250804
Name:SEAY, TIMOTHY (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:SEAY
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:PO BOX 200993
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77216-0993
Mailing Address - Country:US
Mailing Address - Phone:281-784-1111
Mailing Address - Fax:281-784-1555
Practice Address - Street 1:1246 FM 3083
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77511-5542
Practice Address - Country:US
Practice Address - Phone:281-784-1111
Practice Address - Fax:281-784-1555
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5895207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138029712Medicaid
TX1649250804OtherTRICARE SOUTH
TX138029714Medicaid
TX138029713Medicaid
TX138029715Medicaid
TX88460ZOtherBC/BS PROVIDER NUMBER
TX138029712Medicaid
TX138029715Medicaid
TX8C0309Medicare PIN
TX138029714Medicaid
TX8139B1Medicare PIN
TX88460ZOtherBC/BS PROVIDER NUMBER
TX930117333Medicare PIN
TX8675B0Medicare PIN