Provider Demographics
NPI:1326025800
Name:SILVERMAN, ERIC SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:SCOTT
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 EMERALD CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-3302
Mailing Address - Country:US
Mailing Address - Phone:817-706-2772
Mailing Address - Fax:817-612-3151
Practice Address - Street 1:2404 EMERALD CIR
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-3302
Practice Address - Country:US
Practice Address - Phone:817-706-2772
Practice Address - Fax:817-612-3151
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3831207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151877101Medicaid
TX8224B6Medicare PIN
F71338Medicare UPIN