Provider Demographics
NPI:1245504596
Name:SILER, JOHN WILLIAM (BCPC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLIAM
Last Name:SILER
Suffix:
Gender:M
Credentials:BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 BROADWAY ST
Mailing Address - Street 2:SUITE 419
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2006
Mailing Address - Country:US
Mailing Address - Phone:210-497-8807
Mailing Address - Fax:210-338-5605
Practice Address - Street 1:8301 BROADWAY ST
Practice Address - Street 2:SUITE 419
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2006
Practice Address - Country:US
Practice Address - Phone:210-497-8807
Practice Address - Fax:210-338-5605
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral