Provider Demographics
NPI:1578749354
Name:SILVA CLINIC
Entity Type:Organization
Organization Name:SILVA CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:MARQUIS
Authorized Official - Last Name:COLVARD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:915-533-1388
Mailing Address - Street 1:1900 NORTH OREGON
Mailing Address - Street 2:STE 420
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3348
Mailing Address - Country:US
Mailing Address - Phone:915-533-1388
Mailing Address - Fax:915-533-2933
Practice Address - Street 1:1900 NORTH OREGON
Practice Address - Street 2:STE 420
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3348
Practice Address - Country:US
Practice Address - Phone:915-533-1388
Practice Address - Fax:915-533-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15300235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX68873Medicare UPIN