Provider Demographics
NPI:1013378488
Name:STEVEN G ROSENBLATT MD PLLC
Entity Type:Organization
Organization Name:STEVEN G ROSENBLATT MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVOS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:512-692-4010
Mailing Address - Street 1:3834 MORGANS CRK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-1944
Mailing Address - Country:US
Mailing Address - Phone:512-692-4010
Mailing Address - Fax:
Practice Address - Street 1:2130 NE LOOP 410
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4659
Practice Address - Country:US
Practice Address - Phone:210-305-0420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5222207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty