Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 1567 | TX |
Y | 213ES0103X | Foot & Ankle Surgery | 1567 | TX |
NPI | 1073792883 |
---|---|
Provider Name | Darren J Silvester |
First Address | Pleasanton, TX 78064-3432 |
Second Address | Pleasanton, TX 78064-3432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 28/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145229401 | (05) | TX |
480032276 | RR MCR (01) | |
8AJ107 | BC (01) | |
U13880 | (02) | TX |