Provider Demographics
NPI:1477518264
Name:COMBS, STEVEN HIRAM (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:HIRAM
Last Name:COMBS
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 1:3420 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1314
Mailing Address - Country:US
Mailing Address - Phone:806-725-7800
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:3506 21ST ST
Practice Address - Street 2:STE 605
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1234
Practice Address - Country:US
Practice Address - Phone:806-725-4130
Practice Address - Fax:806-723-7137
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148791001Medicaid
TX8604N4Medicare PIN
TX148791001Medicaid