Provider Demographics
NPI:1811888563
Name:DARRICK SIEW MD PLLC
Entity type:Organization
Organization Name:DARRICK SIEW MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-735-7975
Mailing Address - Street 1:635 SWEETGUM LN
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-0410
Mailing Address - Country:US
Mailing Address - Phone:601-735-7975
Mailing Address - Fax:
Practice Address - Street 1:590 HIGHWAY 6 E
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-3002
Practice Address - Country:US
Practice Address - Phone:662-267-6480
Practice Address - Fax:662-267-6481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty