Shelly Siaca
Specialist/Technologist, Other in Saginaw, TX. Individual provider (NPI-1).
NPI number1669956470
StatusActive
Last updated in NPPESFeb 15, 2024
Details
- NPI
- 1669956470
- Entity type
- Individual (NPI-1)
- Name
- Shelly Siaca
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2018
- Certification date
- Feb 15, 2024
- Last updated
- Feb 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | 1006201 | TX | Yes |
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | |
| 174400000X | Specialist | 1006201 | TX |
Other names
- Shelly Siaca (Professional Name)
Practice location
113 W Green St Ste 100Saginaw, TX 76179-1629
Phone 682-234-7916
Mailing address
113 W Green St Ste 100Saginaw, TX 76179-1629
Phone 682-234-7916
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