Provider Demographics
NPI:1215141007
Name:HEIDI SEIFERT, M.D., P. A.
Entity type:Organization
Organization Name:HEIDI SEIFERT, M.D., P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEIFERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-655-7246
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2144
Mailing Address - Country:US
Mailing Address - Phone:713-655-7246
Mailing Address - Fax:713-655-0085
Practice Address - Street 1:7322 SOUTHWEST FWY STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2144
Practice Address - Country:US
Practice Address - Phone:713-655-7246
Practice Address - Fax:713-655-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2318208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U37YOtherBCBS PROVIDER NUMBER
TX1608366-01Medicaid
TX355767400OtherUS DEPARTMENT OF LABOR
TX29479OtherAMERICAID PROVIDER