Individual
DR. BUDDY ROGER SIEBENLIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 BELLVIEW RD, WASKOM, TX 75692-3425
(903) 935-2800
Mailing address
PO BOX 1857, WASKOM, TX 75692-1857
(903) 935-2800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
010260
LA
2085R0202X
Diagnostic Radiology Physician
Primary
H4076
TX
Other
Enumeration date
01/22/2010
Last updated
10/23/2011
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