Provider Demographics
NPI:1073792883
Name:SILVESTER, DARREN J (DPM)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:J
Last Name:SILVESTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-3432
Mailing Address - Country:US
Mailing Address - Phone:830-569-3338
Mailing Address - Fax:830-569-6833
Practice Address - Street 1:409 N BRYANT ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-3432
Practice Address - Country:US
Practice Address - Phone:830-569-3338
Practice Address - Fax:830-569-6833
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1567213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
480032276OtherRR MCR
TX145229401Medicaid
8AJ107OtherBC
8AJ107OtherBC
480032276OtherRR MCR
TX00286PMedicare PIN
8F7480Medicare PIN