Healthcare Provider Details

I. General information

NPI: 1700751534
Provider Name (Legal Business Name): IMOGENE SEKI DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 BLANCO RD STE 101
SAN ANTONIO TX
78216-5045
US

IV. Provider business mailing address

7115 BLANCO RD STE 101
SAN ANTONIO TX
78216-5045
US

V. Phone/Fax

Practice location:
  • Phone: 210-338-8800
  • Fax:
Mailing address:
  • Phone: 210-338-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1215360
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: