Organization Active NPI

Silvia G Sedrak DO PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1063642239
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SILVIA G SEDRAK DO PA
Practice address
929 Gessner Rd
Suite 2205
Houston, TX 77024-2515
Phone
(713) 771-1100
Fax
(713) 771-1545
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Silvia G Sedrak, DO
Title
President
Phone
(713) 771-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

929 Gessner Rd
Suite 2205
Houston, TX 77024-2515

Mailing address

929 Gessner Rd
Suite 2205
Houston, TX 77024-2515
Phone (713) 771-1100

Other identifiers 1

IdentifierTypeStateIssuer
0079SQOtherTXBCBS OF TX

National Provider Directory

National Provider Directory

Locations

7789 Southwest Fwy
Ste 520
Houston, TX 77074
Phone (713) 771-1100

929 Gessner Rd
Ste 2205
Houston, TX 77024
Phone (713) 465-1496

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1063642239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "address_2": "SUITE 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242515",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GESSNER RD",
            "address_2": "SUITE 2205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242515",
            "telephone_number": "713-771-1100",
            "fax_number": "713-771-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVIA G SEDRAK DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-771-1100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "0079SQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.