Healthcare Provider Details

I. General information

NPI: 1780556522
Provider Name (Legal Business Name): ANTHONY DON SEALS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E KING AVE
KINGSVILLE TX
78363-5869
US

IV. Provider business mailing address

1630 SANTA FE DR
KINGSVILLE TX
78363-3436
US

V. Phone/Fax

Practice location:
  • Phone: 361-592-9397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76401
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: