Provider Demographics
NPI:1760846521
Name:SIEGELE, HARRY JAMES (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:JAMES
Last Name:SIEGELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HARRY
Other - Middle Name:
Other - Last Name:SIEGELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:BCM 350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-798-4872
Mailing Address - Fax:713-798-1479
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:BCM 350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:713-798-4872
Practice Address - Fax:713-798-1479
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00630872084P0800X
TX16783934390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program