MEDICARE: MS. CODY SEEL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA05634	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356352959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CODY SEEL PA-C

Provider Business Mailing Address
First Line	:	7713 NAVARRO PL
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-3022
Country	:	US
Telephone Number	:	303-506-4649
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 W SLAUGHTER LN STE 400
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-6237
Country	:	US
Telephone Number	:	512-282-8967
Fax Number	:	512-406-7351

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	05/21/2026

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Directions to “ MS. CODY SEEL PA-C” Practice Location

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