Organization
SRIYA DESILVA
Active
Organization
SRIYA DESILVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY GUILLORY (OFFICE MANAGER)
(409) 899-1696
Entity
Organization
Contact information
Practice address
85 INTERSTATE 10 N STE 201, BEAUMONT, TX 77707-2539
(409) 899-1696
(409) 833-1088
Mailing address
85 INTERSTATE 10 N STE 201, BEAUMONT, TX 77707-2539
(409) 899-1696
(409) 833-1088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F5184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016LY
BCBS OF TX
TX
Enumeration date
08/13/2007
Last updated
08/13/2007
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