Petak, Steven Michael

Petak, Steven Michael is an individual health care provider with primary practice located at 6550 Fannin St Suite 1101, Houston TX 77030-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Petak, Steven Michael can be contacted via phone (713) 441-0006.

Contact Information

Primary practice address
6550 Fannin St Suite 1101 Houston TX 77030-2717
Phone: (713) 441-0006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G1147 Texas

Profile Details

NPI number 1861493157
LBN Legal business name Petak, Steven Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 13th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861493157 NPPES
Texas Other 1861493157 BLUE CROSS BLUE SHIELD
Texas MEDICAID 119141304 BLUE CROSS BLUE SHIELD
Texas Other P01242674 BLUE CROSS BLUE SHIELD
Texas MEDICAID 119141305 BLUE CROSS BLUE SHIELD

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