| Fernando M. Siles, Md, Pllc | |
|
2405 Stonewall St Greenville TX 75401-3349 | |
| (903) 454-3300 | |
| Not Available |
| Full Name | Fernando M. Siles, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2405 Stonewall St, Greenville, Texas |
| Authorized Official Name and Position | Fernando Manuel Siles (OWNER) |
| Authorized Official Contact | 9034543300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando M. Siles, Md, Pllc 2405 Stonewall St Greenville TX 75401-3349 Ph: (903) 454-3300 | Fernando M. Siles, Md, Pllc 2405 Stonewall St Greenville TX 75401-3349 Ph: (903) 454-3300 |
| NPI Number | 1225377328 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Medicare PECOS PAC ID | 8426296526 |
|---|---|
| Medicare Enrollment ID | O20130531000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225377328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G7002 (Texas) | Primary |
| Provider Name | Fernando M Siles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851323059 PECOS PAC ID: 6507004603 Enrollment ID: I20130531000386 |
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