Provider Demographics
NPI:1750390977
Name:SEIBA, MICHAEL Y (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:Y
Last Name:SEIBA
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 720657
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0657
Mailing Address - Country:US
Mailing Address - Phone:956-683-7342
Mailing Address - Fax:956-683-0957
Practice Address - Street 1:2717 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8464
Practice Address - Country:US
Practice Address - Phone:956-683-7342
Practice Address - Fax:956-683-0957
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8480208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157478202Medicaid
TX8K8787OtherBC/BS
TXP00081994OtherRAILROAD MEDICARE
TXF74530Medicare UPIN
TX8B3975Medicare PIN