Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 28567 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | Q3793 | TX |
NPI | 1568604262 |
---|---|
Provider Name | Dr. Garett James Seeba |
First Address | Webster, TX 77598-4326 |
Second Address | Webster, TX 77598-4326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2009 |
Last Update Date | 21/05/2015 |