Provider Demographics
NPI:1275178428
Name:SILVESTRIZ-LORA, HENRY (DC)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:
Last Name:SILVESTRIZ-LORA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5775 AIRPORT BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-4214
Mailing Address - Country:US
Mailing Address - Phone:512-451-0115
Mailing Address - Fax:512-451-1208
Practice Address - Street 1:5775 AIRPORT BLVD STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-4214
Practice Address - Country:US
Practice Address - Phone:512-451-0115
Practice Address - Fax:512-451-1208
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14198OtherTEXAS BOARD OF CHIROPRACTIC EXAMINERS