Provider Demographics
NPI:1528224144
Name:SEELHOEFER, GREGORY MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:MICHAEL
Last Name:SEELHOEFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26424 STRAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:936-270-5500
Mailing Address - Fax:936-270-5505
Practice Address - Street 1:26424 STRAKE DRIVE
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77389
Practice Address - Country:US
Practice Address - Phone:936-270-5500
Practice Address - Fax:936-270-5500
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6646207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
616771110OtherUS DEPT OF LABOR
601771109OtherUS DEPT OF LABOR
616771101OtherUS DEPT OF LABOR
TX1528224144OtherBLUE CROSS BLUE SHIELD
TX8DY913OtherBLUE CROSS BLUE SHIELD
TX214907202Medicaid
TXP01258276OtherMEDICARE RR
616771105OtherUS DEPT OF LABOR
TX214907203Medicaid
TX8DY913OtherBLUE CROSS BLUE SHIELD
TX214907202Medicaid
TX1528224144OtherBLUE CROSS BLUE SHIELD
616771105OtherUS DEPT OF LABOR