Provider Demographics
NPI:1700075108
Name:SILSBEE FAMILY MEDICINE, PA
Entity Type:Organization
Organization Name:SILSBEE FAMILY MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOYCE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARTRETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:409-386-1200
Mailing Address - Street 1:280 HIGHWAY 418 E
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-3729
Mailing Address - Country:US
Mailing Address - Phone:409-386-1200
Mailing Address - Fax:409-386-1219
Practice Address - Street 1:280 HIGHWAY 418 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-3729
Practice Address - Country:US
Practice Address - Phone:409-386-1200
Practice Address - Fax:409-386-1219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
2532675OtherUNITED HEALTHCARE
TX0028JVOtherBCBS
TXDA2075OtherPALMETTO GBA
TX156660601Medicaid
TXDA 2075OtherMEDICARE RR