Healthcare Provider Details

I. General information

NPI: 1538831326
Provider Name (Legal Business Name): MR. CHRISTOPHER SILGUERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 S IH 35 STE A300
ROUND ROCK TX
78664-7358
US

IV. Provider business mailing address

2621 GOLDFINCH DR
CEDAR PARK TX
78613-5114
US

V. Phone/Fax

Practice location:
  • Phone: 512-238-1828
  • Fax:
Mailing address:
  • Phone: 512-786-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number80506
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: