Provider Demographics
NPI:1659800688
Name:SILVENRAIL, IRENE YVONNE (RN LAC)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:YVONNE
Last Name:SILVENRAIL
Suffix:
Gender:F
Credentials:RN LAC
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:YVONNE
Other - Last Name:FALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN ACUPUNCTURIST
Mailing Address - Street 1:20222 GRAIL QUEST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3318
Mailing Address - Country:US
Mailing Address - Phone:916-792-7414
Mailing Address - Fax:
Practice Address - Street 1:17890 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1039
Practice Address - Country:US
Practice Address - Phone:916-792-7414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-04
Last Update Date:2017-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMP171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist