Basic Information
| Provider Information | |||||||||
| NPI: | 1124598875 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALAN D SILBERBERG, MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4210 BENNER | ||||||||
| Address2: | |||||||||
| City: | KYLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786402230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122981645 | ||||||||
| FaxNumber: | 5122981795 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 BENNEY LN STE 203 | ||||||||
| Address2: | |||||||||
| City: | DRIPPING SPRINGS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786205559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122981645 | ||||||||
| FaxNumber: | 5122981795 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2018 | ||||||||
| LastUpdateDate: | 11/26/2018 | ||||||||
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| AuthorizedOfficialLastName: | SILBERBERG | ||||||||
| AuthorizedOfficialFirstName: | ALAN | ||||||||
| AuthorizedOfficialMiddleName: | DOUGLAS | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/MD | ||||||||
| AuthorizedOfficialTelephone: | 5122981645 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208VP0014X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.