Provider Demographics
NPI:1407856776
Name:ROCKMAN, STEVEN IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:IAN
Last Name:ROCKMAN
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 1:520 S TWIN CITY HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-4246
Mailing Address - Country:US
Mailing Address - Phone:409-726-2000
Mailing Address - Fax:409-237-4140
Practice Address - Street 1:520 S TWIN CITY HWY STE 101
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-4246
Practice Address - Country:US
Practice Address - Phone:409-726-2000
Practice Address - Fax:409-237-4140
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6383207V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U7980OtherBCBS
TX1143463-04Medicaid
TX1143463-04Medicaid
TX8U7980OtherBCBS