Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | J0263 | TX |
NPI | 1003816638 |
---|---|
Provider Name | Gregg Lee Silverman |
First Address | Corpus Christi, TX 78404-2220 |
Second Address | Corpus Christi, TX 78404-2220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F87396 | (02) | TX |