MEDICARE: DEBORAH SEELIG M.D.

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	208200000X	Plastic Surgery Physician	K2286	TX

General Provider Information

NPI Number	:	1992793541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH SEELIG M.D.

Provider Business Mailing Address
First Line	:	1700 MURCHISON DR
Second Line	:	SUITE 200
City	:	EL PASO
State	:	TX
Zip	:	79902-2931
Country	:	US
Telephone Number	:	915-541-8825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 MURCHISON DR
Second Line	:	SUITE 200
City	:	EL PASO
State	:	TX
Zip	:	79902-2918
Country	:	US
Telephone Number	:	915-541-8825
Fax Number	:

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	10/02/2012

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