Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1661 | TX |
NPI | 1366405581 |
---|---|
Provider Name | George D Silver |
First Address | Orange, TX 77630-4788 |
Second Address | Orange, TX 77630-4786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 14/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
163178001 | (05) | TX |
8K7970 | BCBS (01) | TX |
U77092 | (02) | TX |