Organization Active NPI

Indal M Seudeal Mdpa

  • Pulmonary Disease Physician
  • Harlingen, TX
National Provider Identifier
1922266097
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
INDAL M SEUDEAL MDPA
Practice address
1300 E Harrison Ave
Harlingen, TX 78550-7130
Phone
(956) 428-7482
Fax
(956) 428-7544
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Indal Seudeal, MDNPI 1588777882
Title
Doctor
Phone
(956) 428-7482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X TX Primary

Addresses

Primary practice location

1300 E Harrison Ave
Harlingen, TX 78550-7130

Mailing address

PO Box 324
Rio Hondo, TX 78583-0324
Phone (956) 428-7482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140130001049 TX Part B Supplier - Clinic/Group Practice 9436388022 Receives reassigned benefits from 1 practitioner
Practice locations: Harlingen, TX

National Provider Directory

National Provider Directory

Locations

1300 E Harrison Ave
Harlingen, TX 78550
Phone (956) 428-7482

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1922266097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "RIO HONDO",
            "state": "TX",
            "postal_code": "785830324",
            "telephone_number": "956-428-7482",
            "fax_number": "956-428-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E HARRISON AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507130",
            "telephone_number": "956-428-7482",
            "fax_number": "956-428-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDAL M SEUDEAL MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "SEUDEAL",
        "authorized_official_first_name": "INDAL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-428-7482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.