Provider Demographics
NPI:1275617177
Name:ALLEY, STEVE B (M D)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:B
Last Name:ALLEY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROSBYTON
Mailing Address - State:TX
Mailing Address - Zip Code:79322-2143
Mailing Address - Country:US
Mailing Address - Phone:806-675-7382
Mailing Address - Fax:
Practice Address - Street 1:710 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSBYTON
Practice Address - State:TX
Practice Address - Zip Code:79322-2143
Practice Address - Country:US
Practice Address - Phone:806-675-7382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137930706Medicaid
TX86930NOtherMEDICARE LEGACY
TX00081NMedicare PIN
TX00F51DMedicare PIN