Provider Demographics
NPI:1558453670
Name:SILVIA, SCOTT KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:KEITH
Last Name:SILVIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:KEITH
Other - Last Name:SILVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5746 TROWBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3341
Mailing Address - Country:US
Mailing Address - Phone:915-219-4300
Mailing Address - Fax:915-519-4300
Practice Address - Street 1:5835 CROMO DR STE 3
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5507
Practice Address - Country:US
Practice Address - Phone:915-585-7016
Practice Address - Fax:915-585-7340
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F0394Medicare PIN
TXG97529Medicare UPIN