Healthcare Provider Details

I. General information

NPI: 1760444319
Provider Name (Legal Business Name): GEORGE SILVER, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
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 TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1661
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1661
License Number StateTX

VIII. Authorized Official

Name: GEORGE D SILVER
Title or Position: OWNER
Credential: DPM
Phone: 409-882-9400