Provider Demographics
NPI:1023000965
Name:SILVA JAMES & VELA INC
Entity Type:Organization
Organization Name:SILVA JAMES & VELA INC
Other - Org Name:SPECTRUM MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-412-9144
Mailing Address - Street 1:1636 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8269
Mailing Address - Country:US
Mailing Address - Phone:956-412-9144
Mailing Address - Fax:956-412-9141
Practice Address - Street 1:1636 CLARK ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8269
Practice Address - Country:US
Practice Address - Phone:956-412-9144
Practice Address - Fax:956-412-9141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0051808332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144103201Medicaid
TX144756701Medicaid
TX144756701Medicaid