Provider Demographics
NPI:1427335439
Name:SEALS, NATHIN LEROY (PA, PHARMD)
Entity type:Individual
Prefix:DR
First Name:NATHIN
Middle Name:LEROY
Last Name:SEALS
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Gender:M
Credentials:PA, PHARMD
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Mailing Address - Street 1:3023 PERRYTON PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2821
Mailing Address - Country:US
Mailing Address - Phone:806-665-0801
Mailing Address - Fax:806-665-7903
Practice Address - Street 1:3023 PERRYTON PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2821
Practice Address - Country:US
Practice Address - Phone:806-665-0801
Practice Address - Fax:806-665-7903
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-05
Last Update Date:2012-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARPH025074183500000X
SC12761183500000X
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No183500000XPharmacy Service ProvidersPharmacist