Healthcare Provider Details

I. General information

NPI: 1982935185
Provider Name (Legal Business Name): DR. JOE ANGEL SILVA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2010
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 S DOUGLAS BLVD STE E
MIDWEST CITY OK
73130-5240
US

IV. Provider business mailing address

350 LAS COLINAS BLVD E APT 4084
IRVING TX
75039-5823
US

V. Phone/Fax

Practice location:
  • Phone: 405-455-5778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11234
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: