Provider Demographics
NPI:1871796607
Name:HSIEH, DALE PAN (MD)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:PAN
Last Name:HSIEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 MANCHACA RD
Mailing Address - Street 2:STE #202
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6631
Mailing Address - Country:US
Mailing Address - Phone:512-850-1537
Mailing Address - Fax:512-804-2652
Practice Address - Street 1:3625 MENCHACA RD #202
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7244
Practice Address - Country:US
Practice Address - Phone:512-517-3586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM48182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry