Individual
MRS. MIRIAM E SIEGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3600 GASTON AVE, DALLAS, TX 75246-1800
(214) 827-0330
(214) 827-2860
Mailing address
3600 GASTON AVE, DALLAS, TX 75246-1800
(214) 827-0330
(214) 827-2860
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
771808
TX
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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