MEDICARE: MISS VIVIAN MARGARITA SILVA GARCES I

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	246ZC0007X	Surgical Assistant	16-246	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891141438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VIVIAN MARGARITA SILVA GARCES I

Provider Business Mailing Address
First Line	:	3603 SOUTHRIDGE DR
Second Line	:	APTO 2031
City	:	AUSTIN
State	:	TX
Zip	:	78704-7739
Country	:	US
Telephone Number	:	786-389-6319
Fax Number	:

Provider Business Practice Location Address
First Line	:	3603 SOUTHRIDGE DR
Second Line	:	APTO 2031
City	:	AUSTIN
State	:	TX
Zip	:	78704-7739
Country	:	US
Telephone Number	:	786-389-6319
Fax Number	:

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

Provider Enumeration Date	:	05/13/2016
Last Update Date	:	05/13/2016

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Directions to “ MISS VIVIAN MARGARITA SILVA GARCES I ” Practice Location

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