Provider Demographics
NPI:1831789874
Name:SILVA, ELIZABETH YVONNE
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:YVONNE
Last Name:SILVA
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 1:14414 US HIGHWAY 87 W
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-5922
Mailing Address - Country:US
Mailing Address - Phone:830-779-1790
Mailing Address - Fax:
Practice Address - Street 1:14414 US HIGHWAY 87 W
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-5922
Practice Address - Country:US
Practice Address - Phone:830-779-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician