MEDICARE: TERRY A SILLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	J2332	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	833920	OTHER	TX	BCBS
2	4313604	OTHER	TX	AETNA PROVIDER NUMBER
3	A008	OTHER	TX	TRICARE
4	1067798	OTHER	TX	UHC

General Provider Information

NPI Number	:	1497751705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRY A SILLER M.D.

Provider Business Mailing Address
First Line	:	6501 MEMORIAL DR
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4015
Country	:	US
Telephone Number	:	409-938-8161
Fax Number	:	409-938-0837

Provider Business Practice Location Address
First Line	:	6501 MEMORIAL DR
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-4015
Country	:	US
Telephone Number	:	409-938-8161
Fax Number	:	409-938-0837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	09/11/2023

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