| Doctor Name: | SEI C OH |
| NPI Number: | 1548268782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | F2379 |
| Business Practice Address: | 515 S Archie St Vidor, TX - 776624868 |
| Business Phone Number: | 4097692295 |
| Business Fax Number: | 4097693373 |
| Mailing Address: | 515 S Archie St, VIDOR |
| State: | TX |
| Postal Code: | 776624868 |
| Phone Number: | 4097692295 |
| Fax Number: | 4097693373 |
| NPI Enumeration Date: | 07/12/2005 |
| NPI Last Update Date: | 02/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F2379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |