Provider Demographics
NPI:1679562037
Name:SILVERMAN, SHEPPY J (MD)
Entity Type:Individual
Prefix:
First Name:SHEPPY
Middle Name:J
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4771
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4771
Mailing Address - Country:US
Mailing Address - Phone:713-798-3880
Mailing Address - Fax:713-798-4175
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 2200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-798-3880
Practice Address - Fax:713-798-4175
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC8728207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2321815OtherBLUE LINK
TX86272SOtherBC/BS
TX86532FMedicare PIN
TX2321815OtherBLUE LINK
C21815Medicare UPIN