Im, Stephen S.

Im, Stephen S. is an sole proprietor health care provider with primary practice located at 12500 Judson Rd Ste 205 , Live Oak TX 78233-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Im, Stephen S. can be contacted via phone (210) 655-6400.

Contact Information

Primary practice address
12500 Judson Rd Ste 205 Live Oak TX 78233-4146
Phone: (210) 655-6400
Fax: (210) 655-6404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X J4232 Texas

Profile Details

NPI number 1336163054
LBN Legal business name Im, Stephen S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jun 14th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336163054 NPPES
Texas MEDICAID 105321702
Texas MEDICAID 105321704

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