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NPI Code Detail

MEDICARE: PRISCILLA E. SIERK, D.O., P.A.

MEDICARE: PRISCILLA E. SIERK, D.O., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianL3479TX

General Provider Information

NPI Number : 1194901116
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRISCILLA E. SIERK, D.O., P.A.
Provider Business Mailing Address
First Line : 3355 BEE CAVE RD
Second Line : SUITE 507
City : AUSTIN
State : TX
Zip : 78746-6682
Country : US
Telephone Number : 512-870-8180
Fax Number : 512-852-6700
Provider Business Practice Location Address
First Line : 3355 BEE CAVE RD
Second Line : SUITE 507
City : AUSTIN
State : TX
Zip : 78746-6682
Country : US
Telephone Number : 512-870-8180
Fax Number : 512-852-6700
Authorized Official
Title or Position : PRESIDENT
Name : DR. PRISCILLA ELAINE SIERK
Credential : D.O.
Telephone Number : 512-870-8180
Provider Enumeration Date : 01/21/2008
Last Update Date : 04/07/2020

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