MEDICARE: DR. SILUS MOTAMARRY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	P1111	TX
2	207W00000X	Ophthalmology Physician	P1111	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TXB151384	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1861634354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SILUS MOTAMARRY M.D.

Provider Business Mailing Address
First Line	:	5744 LYNDON B JOHNSON FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6382
Country	:	US
Telephone Number	:	972-392-2020
Fax Number	:	972-392-4054

Provider Business Practice Location Address
First Line	:	5744 LYNDON B JOHNSON FWY STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6382
Country	:	US
Telephone Number	:	972-392-2020
Fax Number	:	972-392-4054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2009
Last Update Date	:	09/17/2025

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Directions to “ DR. SILUS MOTAMARRY M.D.” Practice Location

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