Provider Demographics
NPI:1356327498
Name:KNEITZ, JOEL STEVE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:STEVE
Last Name:KNEITZ
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 1:7900 FANNIN ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2957
Mailing Address - Country:US
Mailing Address - Phone:713-797-9999
Mailing Address - Fax:713-795-4651
Practice Address - Street 1:7900 FANNIN ST STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2957
Practice Address - Country:US
Practice Address - Phone:713-797-9999
Practice Address - Fax:713-795-4651
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1227207RG0300X, 207P00000X, 207RE0101X, 208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760458535OtherTAX ID
TX110185124OtherMEDICARE RAILROAD
TX110185124OtherMEDICARE RAILROAD
TX8J8551Medicare PIN