Healthcare Provider Details

I. General information

NPI: 1306234562
Provider Name (Legal Business Name): MARK VIKTOR SILVER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2014
Last Update Date: 10/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E TAYLOR ST STE 304
SHERMAN TX
75090-2880
US

IV. Provider business mailing address

600 E TAYLOR ST STE 304
SHERMAN TX
75090-2880
US

V. Phone/Fax

Practice location:
  • Phone: 903-957-7246
  • Fax: 903-957-0049
Mailing address:
  • Phone: 903-957-7246
  • Fax: 903-957-0049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number207T00000X
License Number StateTX

VIII. Authorized Official

Name: DR. MARK VIKTOR SILVER
Title or Position: OWNER
Credential: MD
Phone: 903-957-7246