Provider Demographics
NPI:1902075922
Name:SILBERBERG, ALAN DOUGLAS (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:DOUGLAS
Last Name:SILBERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 BENNER
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2230
Mailing Address - Country:US
Mailing Address - Phone:512-298-1645
Mailing Address - Fax:512-298-1795
Practice Address - Street 1:4210 BENNER
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2230
Practice Address - Country:US
Practice Address - Phone:512-298-1645
Practice Address - Fax:512-298-1645
Is Sole Proprietor?:No
Enumeration Date:2008-02-23
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99650207L00000X
TXN8574208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280785101Medicaid
TX348765ZK3DMedicare PIN