MEDICARE: SILVERLAKE PEDIATRIC CLINIC, PA

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	207Q00000X	Family Medicine Physician
2	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1578781027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERLAKE PEDIATRIC CLINIC, PA

Provider Business Mailing Address
First Line	:	9721 BROADWAY ST STE 111
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8170
Country	:	US
Telephone Number	:	713-436-3637
Fax Number	:	713-236-3639

Provider Business Practice Location Address
First Line	:	9721 BROADWAY ST STE 111
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8170
Country	:	US
Telephone Number	:	713-436-3637
Fax Number	:	713-436-3639

Authorized Official
Title or Position	:	OWNER & PHYSICIAN
Name	:	DR. ASHU SYAL
Credential	:	MD
Telephone Number	:	713-436-3637

Provider Enumeration Date	:	04/22/2007
Last Update Date	:	06/03/2026

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Directions to “SILVERLAKE PEDIATRIC CLINIC, PA ” Practice Location

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