Provider Demographics
NPI:1942689476
Name:SIGSBEE, BILL
Entity Type:Individual
Prefix:
First Name:BILL
Middle Name:
Last Name:SIGSBEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 ANDREWS HWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-4822
Mailing Address - Country:US
Mailing Address - Phone:432-686-6600
Mailing Address - Fax:
Practice Address - Street 1:207 TRADEWINDS BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-2807
Practice Address - Country:US
Practice Address - Phone:432-289-7235
Practice Address - Fax:432-689-0227
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36911103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical