Provider Demographics
NPI:1578179578
Name:SILVER OAK ANESTHESIA SERVICES PLLC
Entity type:Organization
Organization Name:SILVER OAK ANESTHESIA SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THILANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:THILANKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-871-1525
Mailing Address - Street 1:25312 INTERSTATE 45 N
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1449
Mailing Address - Country:US
Mailing Address - Phone:281-871-1525
Mailing Address - Fax:
Practice Address - Street 1:25312 INTERSTATE 45 N
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1449
Practice Address - Country:US
Practice Address - Phone:281-871-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty