Individual
MYRIAM BEATRIZ THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1095 EVERGREEN CIR STE 219, THE WOODLANDS, TX 77380-3646
(281) 210-0029
Mailing address
1095 EVERGREEN CIR STE 219, THE WOODLANDS, TX 77380-3646
(281) 210-0029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R4151
TX
Other
Enumeration date
06/25/2014
Last updated
12/28/2019
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