Provider Demographics
NPI:1962619791
Name:SILVERBLATT, NANCY SUE (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:SUE
Last Name:SILVERBLATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10529 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-4218
Mailing Address - Country:US
Mailing Address - Phone:214-363-4945
Mailing Address - Fax:
Practice Address - Street 1:10529 SANDPIPER LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-4218
Practice Address - Country:US
Practice Address - Phone:214-363-4945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA017453207VG0400X, 2084P0800X
TXN18942084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAE88855Medicare UPIN
LA5N551Medicare ID - Type Unspecified