Provider Demographics
NPI:1033620513
Name:STEELE, DEXTER PETER (BSN RN)
Entity Type:Individual
Prefix:MR
First Name:DEXTER
Middle Name:PETER
Last Name:STEELE
Suffix:
Gender:M
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2731 COYOTE TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4964
Mailing Address - Country:US
Mailing Address - Phone:832-725-5049
Mailing Address - Fax:
Practice Address - Street 1:2731 COYOTE TRAIL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4964
Practice Address - Country:US
Practice Address - Phone:832-725-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse