Provider Demographics
NPI:1114971132
Name:SOTMAN, STEVEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:SOTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34222
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76162-4222
Mailing Address - Country:US
Mailing Address - Phone:281-295-4153
Mailing Address - Fax:817-877-3493
Practice Address - Street 1:6100 HARRIS PKWY
Practice Address - Street 2:SUITE 1210
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-0000
Practice Address - Country:US
Practice Address - Phone:281-295-4153
Practice Address - Fax:817-877-3493
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5380207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123422105Medicaid
TX8A2490Medicare PIN