Houston, Stephen Douglas
Houston, Stephen Douglas is an sole proprietor health care provider with primary practice located at 4419 Frontier Trl Suite 110, Austin TX 78745-1686. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Houston, Stephen Douglas can be contacted via phone (512) 444-7208.Contact Information
Primary practice address
4419 Frontier Trl Suite 110
Austin TX 78745-1686
Phone: (512) 444-7208
Fax: (512) 444-2343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | E1198 | Texas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | E1198 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E1198 | Texas |
Profile Details
| NPI number | 1548235633 |
|---|---|
| LBN Legal business name | Houston, Stephen Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 19th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548235633 | NPPES |
| Texas | MEDICAID | 122735702 |
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