FERNANDO M. SILES, MD, PLLC
Psychiatric at Stonewall St, Greenville, TX

License number
Texas G7002
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: FERNANDO MANUEL SILES MD
Title: OWNER
Phone: (903) 454-3300
Address
Address
2405 Stonewall St, Greenville, TX 75401
National Provider ID: 1225377328
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FERNANDO M SILES, M D , PLLC

2405 Stonewall St, Greenville, TX 75401

Status:
Inactive
Doing business as:
Fernando M. Siles, M.D., Pllc
Registration:
Dec 22, 2000
State ID:
0708080622
Business type:
Domestic Limited Liability Company (LLC)
MM:
Fernando Siles MM, inactive, 2405 Stonewall, Greenville, TX 75403
Agent:
Fernando M Siles,2405 Stonewall, Greenville, TX 75403 (Physical)
TIN:
32003049239

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