Provider Demographics
NPI:1710028543
Name:JOSE J. SILVA, M.D., P.A.
Entity Type:Organization
Organization Name:JOSE J. SILVA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-544-2992
Mailing Address - Street 1:1900 N OREGON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3336
Mailing Address - Country:US
Mailing Address - Phone:915-544-2992
Mailing Address - Fax:915-544-9945
Practice Address - Street 1:1900 N OREGON ST STE 200
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3336
Practice Address - Country:US
Practice Address - Phone:915-544-2992
Practice Address - Fax:915-544-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0675207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079616101Medicaid
TX0002BYMedicare ID - Type Unspecified