Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | H0817 | TX |
NPI | 1033185855 |
---|---|
Provider Name | Dr. Kaylen Mark Silverberg |
First Address | Austin, TX 78731 |
Second Address | Austin, TX 78731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 05/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E20053 | (02) | TX |