Provider Demographics
NPI:1346392032
Name:MASKAL, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:MASKAL
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 630372
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0118
Mailing Address - Country:US
Mailing Address - Phone:214-558-9439
Mailing Address - Fax:214-206-1489
Practice Address - Street 1:1 MEDICAL PKWY
Practice Address - Street 2:STE 105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7841
Practice Address - Country:US
Practice Address - Phone:214-558-9439
Practice Address - Fax:214-206-1489
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1383208600000X, 2086S0102X, 2086S0127X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03213Medicare UPIN