Provider Demographics
NPI:1194851220
Name:STANLEY H STEIN MD PA
Entity Type:Organization
Organization Name:STANLEY H STEIN MD PA
Other - Org Name:FORT BEND GASTROENTEROLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-762-6300
Mailing Address - Street 1:17510 WEST GRAND PARKWAY SOUTH
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2648
Mailing Address - Country:US
Mailing Address - Phone:281-762-6300
Mailing Address - Fax:281-762-6339
Practice Address - Street 1:17510 WEST GRAND PARKWAY SOUTH
Practice Address - Street 2:SUITE 350
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2648
Practice Address - Country:US
Practice Address - Phone:281-762-6300
Practice Address - Fax:281-762-6339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0938391-01Medicaid
TX0938391-01Medicaid