Provider Demographics
NPI:1518991777
Name:PICHLER, STEVE ALLEN (PA-C)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:ALLEN
Last Name:PICHLER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:STEVE
Other - Middle Name:
Other - Last Name:PICHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:709 E FLYNN CT
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-4392
Mailing Address - Country:US
Mailing Address - Phone:956-533-0660
Mailing Address - Fax:
Practice Address - Street 1:709 E FLYNN CT
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-4392
Practice Address - Country:US
Practice Address - Phone:956-533-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01321363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant