1821155334 NPI number — STEVE C OPERSTENY MD

Table of content: STEVE C OPERSTENY MD (NPI 1821155334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821155334 NPI number — STEVE C OPERSTENY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OPERSTENY
Provider First Name:
STEVE
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821155334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3201 UNIVERSITY PR. E.
Provider Second Line Business Mailing Address:
SUITE 160
Provider Business Mailing Address City Name:
BRYAN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-704-5409
Provider Business Mailing Address Fax Number:
979-704-5410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3201 UNIVERSITY PR. E.
Provider Second Line Business Practice Location Address:
SUITE 160
Provider Business Practice Location Address City Name:
BRYAN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-704-5409
Provider Business Practice Location Address Fax Number:
979-704-5410
Provider Enumeration Date:
01/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  H2657 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 120319-02 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120319202 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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