Provider Demographics
NPI:1134372113
Name:VENTURA, SILVIA R
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:R
Last Name:VENTURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 E 8TH ST STE G
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-5690
Mailing Address - Country:US
Mailing Address - Phone:956-585-9300
Mailing Address - Fax:956-585-9302
Practice Address - Street 1:722 E 8TH ST STE G
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-5690
Practice Address - Country:US
Practice Address - Phone:956-585-9300
Practice Address - Fax:956-585-9302
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6294250001Medicare NSC