Provider Demographics
NPI:1366490872
Name:STEINER, KATHLEEN N (MD)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:N
Last Name:STEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SPRINGWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-3111
Mailing Address - Country:US
Mailing Address - Phone:361-576-2222
Mailing Address - Fax:361-580-4108
Practice Address - Street 1:102 SPRINGWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3111
Practice Address - Country:US
Practice Address - Phone:361-576-2222
Practice Address - Fax:361-580-4108
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0683207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4313185OtherAETNA
TX89M32902OtherBCBS
TXP089M3290Medicaid
TX89M32902OtherBCBS
TX89M32902OtherBCBS