Healthcare Provider Details

I. General information

NPI: 1578760906
Provider Name (Legal Business Name): JOSE R CUELLAR SILVA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BLOSSOM ST STE 275
WEBSTER TX
77598-4241
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 832-553-6126
  • Fax: 888-905-2440
Mailing address:
  • Phone: 832-553-6126
  • Fax: 888-905-2440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberQ6172
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberQ6172
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ6172
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: