Stephens, Kyle Wayne

Stephens, Kyle Wayne is an individual health care provider with primary practice located at 2060 Space Park Dr Suite 100, Houston TX 77058-3600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Stephens, Kyle Wayne can be contacted via phone (281) 333-1703.

Contact Information

Primary practice address
2060 Space Park Dr Suite 100 Houston TX 77058-3600
Phone: (281) 333-1703
Fax: (281) 333-5970
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X P7575 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116016495 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X P7575 Texas

Profile Details

NPI number 1700084522
LBN Legal business name Stephens, Kyle Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Nov 28th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700084522 NPPES
Texas Other 8GD970 BCBS
Texas Other P01355059 BCBS
Texas MEDICAID 337186601 BCBS
Texas MEDICAID 337186602 BCBS

Popular Providers