Healthcare Provider Details

I. General information

NPI: 1366405581
Provider Name (Legal Business Name): GEORGE D SILVER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16481 HIGHWAY 62 S
ORANGE TX
77630-1986
US

IV. Provider business mailing address

16481 HIGHWAY 62 S
ORANGE TX
77630-1986
US

V. Phone/Fax

Practice location:
  • Phone: 409-882-9400
  • Fax: 409-882-9403
Mailing address:
  • Phone: 409-882-9400
  • Fax: 409-882-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1661
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: