Provider Demographics
NPI:1083914741
Name:STEINHAUSER, GIAN DEREK (DPM)
Entity Type:Individual
Prefix:DR
First Name:GIAN
Middle Name:DEREK
Last Name:STEINHAUSER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11515 CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2905
Mailing Address - Country:US
Mailing Address - Phone:713-728-3117
Mailing Address - Fax:713-728-2212
Practice Address - Street 1:6800 WEST LOOP S
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4528
Practice Address - Country:US
Practice Address - Phone:713-839-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006144213ES0103X
TX2023213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX341583802Medicaid
TXTXB153833Medicare UPIN
TX219523ZLR6Medicare PIN
TXTXB111276Medicare PIN