Steans, Stacy Theodore

Steans, Stacy Theodore is an sole proprietor health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Steans, Stacy Theodore can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M5938 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X M5938 Texas

Profile Details

NPI number 1447318928
LBN Legal business name Steans, Stacy Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Sep 28th, 2018 - about 6 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 1447318928 NPPES
Oklahoma MEDICAID 200793430A
Oklahoma Other 217691903
Oklahoma MEDICAID 217691905
Oklahoma MEDICAID 217691906
Oklahoma MEDICAID 99351862

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