Provider Demographics
NPI:1407323538
Name:SIESTA SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:SIESTA SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEP
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:209-416-6321
Mailing Address - Street 1:4475 TRINITY MILLS ROAD #703064
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75370-0010
Mailing Address - Country:US
Mailing Address - Phone:209-416-6321
Mailing Address - Fax:
Practice Address - Street 1:425 N HIGHLAND AVE STE 220
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7383
Practice Address - Country:US
Practice Address - Phone:903-345-4114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty