Individual
DR. AMY BETH SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420010015
VT
207R00000X
Internal Medicine Physician
Primary
P9736
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339115301
—
TX
05
—
339115302
—
TX
05
—
OVN2269
—
VT
01
—
P01414594
ARC RR MEDICARE PTAN
TX
Enumeration date
07/09/2006
Last updated
04/16/2021
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