Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | P8618 | TX |
Y | 208600000X | Surgeon | P8618 | TX |
N | 208200000X | Surgeon | R-8415 | IA |
N | 208600000X | Surgeon | R-8415 | IA |
NPI | 1003077355 |
---|---|
Provider Name | Dr. Angela Jill Seda |
First Address | Dallas, TX 75391-1230 |
Second Address | Arlington, TX 76012-2572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 25/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336298001 | (05) | TX |
P01828408 | RAILROAD (01) | TX |