Provider Demographics
NPI:1154515773
Name:SILVA, MARIA D (PA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:SILVA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4243 E SOUTHCROSS BLVD
Mailing Address - Street 2:STE. 205
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3727
Mailing Address - Country:US
Mailing Address - Phone:210-304-3500
Mailing Address - Fax:210-337-2909
Practice Address - Street 1:4243 E SOUTHCROSS BLVD
Practice Address - Street 2:STE. 205
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3727
Practice Address - Country:US
Practice Address - Phone:210-304-3500
Practice Address - Fax:210-337-2909
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05274363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190983001Medicaid
TX478793YLPSOtherWELLMED MEDICARE
TX1909830-02OtherWELLMED MEDICAID
TX8Y2761OtherBCBS
TXPA05274OtherTEXAS MEDICAL BOARD
TX478793YLPSOtherWELLMED MEDICARE