Provider Demographics
NPI:1497794663
Name:FROST, STEVE M (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:M
Last Name:FROST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3600 GASTON AVE
Mailing Address - Street 2:SUITE 1205
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1800
Mailing Address - Country:US
Mailing Address - Phone:214-692-8262
Mailing Address - Fax:214-696-4190
Practice Address - Street 1:3417 GASTON AVE
Practice Address - Street 2:SUITE 830
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246
Practice Address - Country:US
Practice Address - Phone:214-826-6021
Practice Address - Fax:214-823-9745
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2018-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE4338208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122566604Medicaid
TX340016542OtherRRMCR
80413XOtherBCBS PROVIDER ID
TX87062KMedicare PIN
C15798Medicare UPIN