Basic Information
| Provider Information | |||||||||
| NPI: | 1871985408 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SEAVER | ||||||||
| FirstName: | RYAN | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3501 MILLS AVE | ||||||||
| Address2: | UT AUSTIN DELL MEDICAL SCHOOL PSYCHIATRY | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787316309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5123242036 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1500 S MAIN ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761044917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177023636 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2015 | ||||||||
| LastUpdateDate: | 06/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 664336 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0800X | R9685 | TX | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.