Provider Demographics
NPI:1225223621
Name:SILVA, PAUL M (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:M
Last Name:SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 700029
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0029
Mailing Address - Country:US
Mailing Address - Phone:210-957-0023
Mailing Address - Fax:210-569-7781
Practice Address - Street 1:2235 THOUSAND OAKS DR STE 115
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232
Practice Address - Country:US
Practice Address - Phone:210-957-0023
Practice Address - Fax:210-569-7781
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2020-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN4749207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207552504Medicaid
TX351535YMVUOtherWELLMED NETWORKS INC
TXTXB126310OtherWELLMED MEDICAL GROUP PA