Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | H6606 | TX |
NPI | 1427034925 |
---|---|
Provider Name | Dr. Barry S. Siller |
First Address | Houston, TX 77024-2301 |
Second Address | Houston, TX 77024-2527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 18/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041765101 | (05) | TX |
160037540 | MEDICARE RAILROAD (01) | TX |
E41440 | (02) | TX |