Provider Demographics
NPI:1295878213
Name:SILVA, SYLVIA YVETTE (OTR)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:YVETTE
Last Name:SILVA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 E. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332
Mailing Address - Country:US
Mailing Address - Phone:361-396-0243
Mailing Address - Fax:361-396-0273
Practice Address - Street 1:1713 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4047
Practice Address - Country:US
Practice Address - Phone:361-396-0243
Practice Address - Fax:361-396-0273
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105292174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist