Provider Demographics
NPI:1003215062
Name:SYLVIA, SEAN MICHAEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:MICHAEL
Last Name:SYLVIA
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:11335 SSG SIMS ST
Mailing Address - Street 2:MENDOZA SOLDIER AND FAMILY CARE CENTER
Mailing Address - City:FORT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:915-742-1628
Mailing Address - Fax:
Practice Address - Street 1:11335 SSG SIMS ST
Practice Address - Street 2:MENDOZA SOLDIER AND FAMILY CARE CENTER
Practice Address - City:FORT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79916
Practice Address - Country:US
Practice Address - Phone:915-742-1628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical