Provider Demographics
NPI:1053815159
Name:SILVA, MAURO (MD, MPH)
Entity Type:Individual
Prefix:
First Name:MAURO
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0764
Mailing Address - Country:US
Mailing Address - Phone:409-772-0122
Mailing Address - Fax:409-747-0777
Practice Address - Street 1:301 UNIVERSITY BOULEVARD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0764
Practice Address - Country:US
Practice Address - Phone:409-772-0122
Practice Address - Fax:409-747-0777
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1559207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology