Provider Demographics
NPI:1093915084
Name:ENRIQUE N SILVA MD PA
Entity Type:Organization
Organization Name:ENRIQUE N SILVA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-467-8121
Mailing Address - Street 1:121 E QUAMASIA AVE
Mailing Address - Street 2:126
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2626
Mailing Address - Country:US
Mailing Address - Phone:956-467-8121
Mailing Address - Fax:956-316-0263
Practice Address - Street 1:121 E QUAMASIA AVE
Practice Address - Street 2:126
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2626
Practice Address - Country:US
Practice Address - Phone:956-467-8121
Practice Address - Fax:956-316-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0568207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W511Medicare PIN