Provider Demographics
NPI:1699577908
Name:SILAS, ANNA BETH
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:BETH
Last Name:SILAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10237 TULLAMORE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-8928
Mailing Address - Country:US
Mailing Address - Phone:254-580-3312
Mailing Address - Fax:
Practice Address - Street 1:1000 LIPSCOMB ST STE 110
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3181
Practice Address - Country:US
Practice Address - Phone:817-348-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant