Provider Demographics
NPI:1194901116
Name:PRISCILLA E. SIERK, D.O., P.A.
Entity type:Organization
Organization Name:PRISCILLA E. SIERK, D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SIERK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:512-870-8180
Mailing Address - Street 1:3355 BEE CAVE RD
Mailing Address - Street 2:SUITE 507
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6682
Mailing Address - Country:US
Mailing Address - Phone:512-870-8180
Mailing Address - Fax:512-852-6700
Practice Address - Street 1:3355 BEE CAVE RD
Practice Address - Street 2:SUITE 507
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6682
Practice Address - Country:US
Practice Address - Phone:512-870-8180
Practice Address - Fax:512-852-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL34792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty