Provider Demographics
NPI:1942281878
Name:D J SILVESTER DPM PA
Entity Type:Organization
Organization Name:D J SILVESTER DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:SILVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:830-569-3338
Mailing Address - Street 1:409 N BRYANT STREET
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-4111
Mailing Address - Country:US
Mailing Address - Phone:830-569-3338
Mailing Address - Fax:830-569-6833
Practice Address - Street 1:409 N BRYANT ST
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:TX
Practice Address - Zip Code:78064-3432
Practice Address - Country:US
Practice Address - Phone:830-569-3338
Practice Address - Fax:830-569-6833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1567213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
480032276OtherRR MCR
TX211656801Medicaid
TX211656801Medicaid
4335470001Medicare NSC
TX00286PMedicare PIN