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General NPI Number Information
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NPI Number | 1689677056
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Entity Type | Individual
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Provider Name | MICHAEL R SEALS M.D. /P.A.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 6130 W PARKER RD MOB 1 STE 103
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City | PLANO
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State | TX
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Zip | 75093-7901
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Country | US
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Telephone | 972-473-0190
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Fax | 972-473-2257
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Provider Business Mailing Address
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Address Line | PO BOX 117536
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City | ATLANTA
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State | GA
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Zip | 30368-7536
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Country | US
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Telephone | 615-346-8182
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Fax | 615-829-8970
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | J3901
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License Number State | TX
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