Provider Demographics
NPI:1124031430
Name:HOWLETT, STEPHEN G (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:G
Last Name:HOWLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:405 LONDONDERRY DR
Mailing Address - Street 2:SUITE 301B
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-7924
Mailing Address - Country:US
Mailing Address - Phone:254-756-6875
Mailing Address - Fax:254-756-1334
Practice Address - Street 1:405 LONDONDERRY DR
Practice Address - Street 2:SUITE 301B
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-7924
Practice Address - Country:US
Practice Address - Phone:254-756-6875
Practice Address - Fax:254-756-1334
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF59532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B23602Medicare UPIN
878702Medicare PIN