Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1245504596 |
---|---|
Provider Name | Dr. John William Siler |
First Address | San Antonio, TX 78209-2006 |
Second Address | San Antonio, TX 78209-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2012 |
Last Update Date | 05/03/2012 |