Healthcare Provider Details

I. General information

NPI: 1932014248
Provider Name (Legal Business Name): SILAS D&A ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 N LAFAYETTE AVE
BROWNSVILLE TN
38012-2548
US

IV. Provider business mailing address

29 N LAFAYETTE AVE
BROWNSVILLE TN
38012-2548
US

V. Phone/Fax

Practice location:
  • Phone: 731-437-9494
  • Fax: 731-585-0495
Mailing address:
  • Phone: 731-437-9494
  • Fax: 731-585-0495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. ANTOINETTE YVETTE SILAS
Title or Position: BSN, RN
Credential: RN
Phone: 312-653-8241