Provider Demographics
NPI:1780324087
Name:DAVILA SILIEZAR, PAMELA ALEXANDRA (MD)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ALEXANDRA
Last Name:DAVILA SILIEZAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHELSEA BLVD APT 710
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6238
Mailing Address - Country:US
Mailing Address - Phone:806-999-0851
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST STE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2735
Practice Address - Country:US
Practice Address - Phone:713-441-8823
Practice Address - Fax:713-793-1636
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program