Provider Demographics
NPI:1821086141
Name:SEGER, MICHAEL V (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:V
Last Name:SEGER
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 1:8038 WURZBACH RD STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3812
Mailing Address - Country:US
Mailing Address - Phone:210-807-7341
Mailing Address - Fax:210-807-7470
Practice Address - Street 1:8038 WURZBACH RD STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3812
Practice Address - Country:US
Practice Address - Phone:210-807-7341
Practice Address - Fax:210-807-7470
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165793401Medicaid
TX8F9152OtherBLUE CROSS BLUE SHIELD
TX8F9152OtherBLUE CROSS BLUE SHIELD
TX8B8065Medicare ID - Type Unspecified