Provider Demographics
NPI:1437155942
Name:SINGLETON, STEVEN B (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SINGLETON
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 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9087
Mailing Address - Country:US
Mailing Address - Phone:970-306-5153
Mailing Address - Fax:214-645-0078
Practice Address - Street 1:6301 HARRIS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4265
Practice Address - Country:US
Practice Address - Phone:817-433-3450
Practice Address - Fax:817-294-6429
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26335174400000X, 207X00000X, 207XX0005X
TXJ2336207XX0005X, 207X00000X
CO35268207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00741268OtherRAIL ROAD MEDICARE
SCF84115OtherUPIN
SC26335OtherM.D.
SC26335OtherM.D.
SCP00741268OtherRAIL ROAD MEDICARE