Provider Demographics
NPI:1871596361
Name:SEADE, LOUIS EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:EDWARD
Last Name:SEADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4611 GUADALUPE ST
Mailing Address - Street 2:STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-2908
Mailing Address - Country:US
Mailing Address - Phone:512-476-2830
Mailing Address - Fax:512-583-1099
Practice Address - Street 1:4611 GUADALUPE ST
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-2908
Practice Address - Country:US
Practice Address - Phone:512-476-2830
Practice Address - Fax:512-583-1099
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7373207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157233102Medicaid
TX157233102Medicaid
TX8D7230Medicare ID - Type Unspecified