Healthcare Provider Details

I. General information

NPI: 1407424781
Provider Name (Legal Business Name): AMY OAKES SILAR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2022
Certification Date: 06/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 W TRINITY
GROESBECK TX
76642
US

IV. Provider business mailing address

923 FM 489 W
DONIE TX
75838-7119
US

V. Phone/Fax

Practice location:
  • Phone: 254-729-3740
  • Fax:
Mailing address:
  • Phone: 903-388-2529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1045566
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: