| NPI | 1255087938 |
|---|---|
| Doing Business As | MYCHN SILVERLAKE |
| Entity Type | Organization |
| Authorized Contact | BRANDY SMITH Credentialing 281-824-1480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-03-26 |