MEDICARE: LOUISA AGADZA SEISIE

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	363LF0000X	Family Nurse Practitioner	1172646	TX

General Provider Information

NPI Number	:	1619855632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISA AGADZA SEISIE

Provider Business Mailing Address
First Line	:	1942 WEST GREY STREET
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019
Country	:	US
Telephone Number	:	346-396-3777
Fax Number	:	345-355-6617

Provider Business Practice Location Address
First Line	:	1942 WEST GREY STREET
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019
Country	:	US
Telephone Number	:	346-396-3777
Fax Number	:	345-355-6617

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

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	04/29/2026

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Directions to “ LOUISA AGADZA SEISIE ” Practice Location

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