MEDICARE: DR. GREGORY SCOTT SEAL MD

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	174400000X	Specialist	021174	LA

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	:	1811947153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY SCOTT SEAL MD

Provider Business Mailing Address
First Line	:	10191 TRAILRIDGE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7651
Country	:	US
Telephone Number	:	318-222-6226
Fax Number	:	318-221-8526

Provider Business Practice Location Address
First Line	:	3341 YOUREE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2149
Country	:	US
Telephone Number	:	318-219-4167
Fax Number	:	318-219-4834

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/19/2016

Similar Medicare Providers

1942163746 — ALEXIS PAIGE KITISHIAN
Practice Location Address:

3341 YOUREE DR STE 10
SHREVEPORT, LA
71105-2149

Practice Phone: 318-673-0804
Practice Fax:

1386612042 — DR. RONALD A. GOEBEL PH.D.
Practice Location Address:

3341 YOUREE DR STE 20A
SHREVEPORT, LA
71105-2149

Practice Phone: 318-425-2000
Practice Fax:

1457329120 — DR. MARK P. VIGEN PH.D.
Practice Location Address:

3341 YOUREE DR STE 20A
SHREVEPORT, LA
71105-2149

Practice Phone: 318-425-2000
Practice Fax: 318-424-2601

1124067145 — MMO OF SHREVEPORT, LLC
Practice Location Address:

3341 YOUREE DR , SUITE 102
SHREVEPORT, LA
71105-2149

Practice Phone: 318-688-6228
Practice Fax: 318-688-6466

1528171899 — DR. TRACI RICHARDS BURKS NURSE PRACTITIONER
Practice Location Address:

3341 YOUREE DR STE 20B
SHREVEPORT, LA
71105-2149

Practice Phone: 318-553-1168
Practice Fax: 318-354-4811

1043327968 — DR. BRUCE K MCCORMICK PHD
Practice Location Address:

3341 YOUREE DR STE 20A
SHREVEPORT, LA
71105-2149

Practice Phone: 318-865-7500
Practice Fax: 318-868-2035

Directions to “ DR. GREGORY SCOTT SEAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.