Provider Demographics
NPI:1598850034
Name:SILVERMAN, PAUL MARSHALL (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:MARSHALL
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1400 PRESSLER ST., UNIT 1473
Mailing Address - Street 2:UTMDACC DIAGNOSTIC RADIOLOGY DEPARTMENT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-745-3025
Mailing Address - Fax:713-794-4379
Practice Address - Street 1:1400 PRESSLER ST.
Practice Address - Street 2:UNIT 1473
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-745-3025
Practice Address - Fax:713-794-4379
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL07342085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043184301Medicaid
C62734Medicare UPIN
TX84769NMedicare PIN