Provider Demographics
NPI:1609022672
Name:SILVERTHORN, ANDREW CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHARLES
Last Name:SILVERTHORN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4910 MANTLE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-1519
Mailing Address - Country:US
Mailing Address - Phone:512-323-2452
Mailing Address - Fax:512-323-2970
Practice Address - Street 1:1420 W 51ST ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-2608
Practice Address - Country:US
Practice Address - Phone:512-323-2452
Practice Address - Fax:512-323-2970
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF3339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB26461Medicare UPIN
TX8F8613Medicare PIN