Healthcare Provider Details

I. General information

NPI: 1164281283
Provider Name (Legal Business Name): HEALTHWATCH, BY SILVER HOUSE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13507 N 145TH DR
SURPRISE AZ
85379-6162
US

IV. Provider business mailing address

15411 W WADDELL RD STE 102
SURPRISE AZ
85379-5170
US

V. Phone/Fax

Practice location:
  • Phone: 202-681-1274
  • Fax: 480-607-7003
Mailing address:
  • Phone: 202-681-1274
  • Fax: 480-607-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ASPEN DECKER
Title or Position: CEO
Credential:
Phone: 202-681-1274