| Sriya Desilva | |
|
85 Interstate 10 N Ste 201 Beaumont TX 77707-2539 | |
| (409) 899-1696 | |
| (409) 833-1088 |
| Full Name | Sriya Desilva |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 85 Interstate 10 N Ste 201, Beaumont, Texas |
| Authorized Official Name and Position | Brandy Guillory (OFFICE MANAGER) |
| Authorized Official Contact | 4098991696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sriya Desilva 85 Interstate 10 N Ste 201 Beaumont TX 77707-2539 Ph: (409) 899-1696 | Sriya Desilva 85 Interstate 10 N Ste 201 Beaumont TX 77707-2539 Ph: (409) 899-1696 |
| NPI Number | 1699967893 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699967893 | NPI | - | NPPES |
| 0016LY | Other | TX | BCBS OF TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | F5184 (Texas) | Primary |
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