Provider Demographics
NPI:1902628969
Name:SILAS, PRECIOUS DONDA (QMHP)
Entity type:Individual
Prefix:MRS
First Name:PRECIOUS
Middle Name:DONDA
Last Name:SILAS
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 FM 2800
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TX
Mailing Address - Zip Code:75951-7444
Mailing Address - Country:US
Mailing Address - Phone:409-324-1577
Mailing Address - Fax:
Practice Address - Street 1:3808 FM 2800
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TX
Practice Address - Zip Code:75951-7444
Practice Address - Country:US
Practice Address - Phone:409-324-1577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator