Provider Demographics
NPI:1366405581
Name:SILVER, GEORGE D (DPM)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:D
Last Name:SILVER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16481 HIGHWAY 62 S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:TX
Mailing Address - Zip Code:77630-1986
Mailing Address - Country:US
Mailing Address - Phone:409-882-9400
Mailing Address - Fax:409-882-9403
Practice Address - Street 1:16481 HIGHWAY 62 S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:TX
Practice Address - Zip Code:77630-1986
Practice Address - Country:US
Practice Address - Phone:409-882-9400
Practice Address - Fax:409-882-9403
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1661213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163178001Medicaid
TX8K7970OtherBCBS
TX5074810001Medicare NSC
TXU77092Medicare UPIN
TX163178001Medicaid