Individual
DR. JACLYN LAUREN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(323) 256-5158
(713) 500-5750
Mailing address
6431 FANNIN ST # 3.1347, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
T3699
TX
390200000X
Student in an Organized Health Care Education/Training Program
58.030434
OH
Other
Enumeration date
04/01/2018
Last updated
09/05/2024
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