| Doctor Name: | MR. SEAN DITTMAN |
| NPI Number: | 1043676307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, FNP-C |
| License Number: | AP130293 |
| Business Practice Address: | 5016 Fm 1518 Selma, TX - 781541360 |
| Business Phone Number: | 2106549300 |
| Business Fax Number: | |
| Mailing Address: | Po Box 181, SCHERTZ |
| State: | TX |
| Postal Code: | 781540181 |
| Phone Number: | 2106549300 |
| Fax Number: | |
| NPI Enumeration Date: | 01/01/2016 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP130293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |