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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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