Provider Demographics
NPI:1578760906
Name:CUELLAR SILVA, JOSE R (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:CUELLAR SILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:250 BLOSSOM STREET
Mailing Address - Street 2:STE 275
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4241
Mailing Address - Country:US
Mailing Address - Phone:832-553-6126
Mailing Address - Fax:832-553-6126
Practice Address - Street 1:250 BLOSSOM STREET
Practice Address - Street 2:STE 275
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4241
Practice Address - Country:US
Practice Address - Phone:832-553-6126
Practice Address - Fax:832-553-6126
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2021-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ6172207R00000X, 207RC0001X
GA002411207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA002411OtherRESIDENCY TRAINING PERMIT