Provider Demographics
NPI:1497913958
Name:SIEGEL, KAREN A (RD, LD, LAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:RD, LD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3856
Mailing Address - Country:US
Mailing Address - Phone:713-721-7755
Mailing Address - Fax:713-723-8065
Practice Address - Street 1:9660 HILLCROFT ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3856
Practice Address - Country:US
Practice Address - Phone:713-721-7755
Practice Address - Fax:713-723-8065
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX01238133V00000X
TX00704171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered