Basic Information
Provider Information
NPI: 1730114562
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEABERG
FirstName: KAREN
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 COIT RD
Address2: SUITE 307
City: PLANO
State: TX
PostalCode: 750756174
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1600 COIT RD
Address2: SUITE 307
City: PLANO
State: TX
PostalCode: 750756174
CountryCode: US
TelephoneNumber: 9728677862
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/11/2006
LastUpdateDate: 08/12/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085B0100XMO561TXY Allopathic & Osteopathic PhysiciansRadiologyBody Imaging

No ID Information.


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