Vacek, Steven J

Vacek, Steven J is an individual health care provider with primary practice located at 409 Glenwood St Suite 500, Glen Rose TX 76043-4933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vacek, Steven J can be contacted via phone (254) 897-2202.

Contact Information

Primary practice address
409 Glenwood St Suite 500 Glen Rose TX 76043-4933
Phone: (254) 897-2202
Fax: (254) 897-1638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34587 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q2958 Texas

Profile Details

NPI number 1164473666
LBN Legal business name Vacek, Steven J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 12th, 2017 - about 7 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 1164473666 NPPES
Other 002000328J HUMANA
Other 0011368086 HUMANA
MEDICAID 32004300 HUMANA

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