Provider Demographics
NPI:1821209107
Name:ENRIQUE NORDMAN SILVA M.D. P.A.
Entity type:Organization
Organization Name:ENRIQUE NORDMAN SILVA M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:NORDMAN
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-994-0026
Mailing Address - Street 1:PO BOX 2378
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-2378
Mailing Address - Country:US
Mailing Address - Phone:956-994-0026
Mailing Address - Fax:956-994-0032
Practice Address - Street 1:113 BAYLOR AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2099
Practice Address - Country:US
Practice Address - Phone:956-994-0026
Practice Address - Fax:956-994-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0568207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F6944Medicare PIN
TXH31024Medicare UPIN