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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BUDDY ROGER SIEBENLIST, M.D.

Active Sole Proprietor

DR. BUDDY ROGER SIEBENLIST, M.D. is a Diagnostic Radiology healthcare provider located in WASKOM, Texas. NPI 1851622393 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · WASKOM, TX

Registration Details

NPI Number
1851622393
Provider Type
Individual
Gender
Male
NPI Issued
Jan 22, 2010 (16.577701311154 yrs)
Last Updated
Oct 23, 2011
Licenses
H4076 (TX)
010260 (LA)
Sole Proprietor
Yes

Practice Information

Address
757 BELLVIEW RD
WASKOM, TX, 756923425
Browse TX providers · Browse ZIP 75692
Phone
9039352800
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.