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Individual

DR. MICHELLE SIBILLE SENECHALLE

Active
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Individual

DR. MICHELLE SIBILLE SENECHALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10046580
TX
207R00000X
Internal Medicine Physician
Primary
R1130
TX
208000000X
Pediatrics Physician
BP10046580
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373692803
TX
01
373692804
CSHCN MEDICAID
TX
Enumeration date
04/17/2013
Last updated
06/30/2021
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