Healthcare Provider Details

I. General information

NPI: 1750354437
Provider Name (Legal Business Name): MARK VIKTOR SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2006
Last Update Date: 02/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N HIGHLAND AVE STE 310
SHERMAN TX
75092-7389
US

IV. Provider business mailing address

300 N HIGHLAND AVE STE 310
SHERMAN TX
75092-7389
US

V. Phone/Fax

Practice location:
  • Phone: 903-957-0003
  • Fax: 903-957-0007
Mailing address:
  • Phone: 903-957-0003
  • Fax: 903-957-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME91668
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberN1605
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: