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General NPI Number Information
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NPI Number | 1326103185
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Entity Type | Organization
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Legal Business Name | W.TERRY SIEBERT, M.D., P.A.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1710
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-757-7475
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Fax | 713-659-3212
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Provider Business Mailing Address
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Address Line | 1315 ST JOSEPH PKWY SUITE 1710
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City | HOUSTON
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State | TX
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Zip | 77002-8233
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Country | US
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Telephone | 713-757-7475
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Fax | 713-659-3212
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM TERRY SIEBERT
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Credential | M.D.
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Telephone | 713-757-7475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D9659
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License Number State | TX
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