Provider Demographics
NPI:1053365601
Name:LIE, SIEN HWIE (MD)
Entity type:Individual
Prefix:
First Name:SIEN
Middle Name:HWIE
Last Name:LIE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N TAYLOR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79107-5279
Mailing Address - Country:US
Mailing Address - Phone:806-359-7746
Mailing Address - Fax:806-359-8768
Practice Address - Street 1:711 N TAYLOR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79107-5279
Practice Address - Country:US
Practice Address - Phone:806-359-7746
Practice Address - Fax:806-359-8768
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8040208D00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX034737901Medicaid
160023990OtherRAILROAD MEDICARE
TX00LN63OtherBLUE CROSS BLUE SHIELD
160023990OtherRAILROAD MEDICARE
TXC18415Medicare UPIN