1932605243 NPI number — DR. CARA ALYSE SILVEY MD

Table of content: DR. CARA ALYSE SILVEY MD (NPI 1932605243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932605243 NPI number — DR. CARA ALYSE SILVEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVEY
Provider First Name:
CARA
Provider Middle Name:
ALYSE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GRAY
Provider Other First Name:
CARA
Provider Other Middle Name:
ALYSE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932605243
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16659 SW FREEWAY
Provider Second Line Business Mailing Address:
301
Provider Business Mailing Address City Name:
SUGAR LAND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77479
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-265-2272
Provider Business Mailing Address Fax Number:
281-491-1633

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16659 SW FREEWAY
Provider Second Line Business Practice Location Address:
301
Provider Business Practice Location Address City Name:
SUGAR LAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77479
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-265-2272
Provider Business Practice Location Address Fax Number:
281-491-1633
Provider Enumeration Date:
04/04/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: T0219 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: TPI430306701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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