Provider Demographics
NPI:1376701433
Name:SOUTH TEXAS INSTITUTES OF HEALTH INC
Entity Type:Organization
Organization Name:SOUTH TEXAS INSTITUTES OF HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-648-3390
Mailing Address - Street 1:555 E 5TH ST APT 821
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3959
Mailing Address - Country:US
Mailing Address - Phone:888-648-3390
Mailing Address - Fax:888-648-3390
Practice Address - Street 1:555 E 5TH ST APT 821
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3959
Practice Address - Country:US
Practice Address - Phone:888-648-3390
Practice Address - Fax:888-648-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2019-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8364207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0001WYOtherBCBS
TX288926301Medicaid
TXM8364OtherLICENSE NUMBER
TXM8364OtherLICENSE NUMBER