Healthcare Provider Details

I. General information

NPI: 1316039811
Provider Name (Legal Business Name): ALAN SILVERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18540 SIGMA RD
SAN ANTONIO TX
78258-4274
US

IV. Provider business mailing address

18540 SIGMA RD
SAN ANTONIO TX
78258-4274
US

V. Phone/Fax

Practice location:
  • Phone: 210-490-4661
  • Fax:
Mailing address:
  • Phone: 210-490-4661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberF7169
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberF7169
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: