Provider Demographics
NPI:1760444319
Name:GEORGE SILVER, DPM, PA
Entity Type:Organization
Organization Name:GEORGE SILVER, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:409-882-9400
Mailing Address - Street 1:16481 HIGHWAY 62 S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-1986
Mailing Address - Country:US
Mailing Address - Phone:409-882-9400
Mailing Address - Fax:409-882-9403
Practice Address - Street 1:16481 HIGHWAY 62 S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1986
Practice Address - Country:US
Practice Address - Phone:409-882-9400
Practice Address - Fax:409-882-9403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1661213ES0131X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0085KVOtherBCBS
TX163177201Medicaid
TX5074810001Medicare NSC
TX0085KVOtherBCBS
TXU77092Medicare UPIN