Provider Demographics
NPI:1538145420
Name:MCCORD, STEVEN ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALLEN
Last Name:MCCORD
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:PO BOX 650865
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0865
Mailing Address - Country:US
Mailing Address - Phone:972-715-5007
Mailing Address - Fax:972-715-5682
Practice Address - Street 1:6606 LBJ FWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6524
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0616207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050065319OtherRAILROAD
TX125511905Medicaid
TX125511906Medicaid
TX136035603Medicaid
TX136035612Medicaid
TX8EH588OtherBCS TX
TX136035611Medicaid
TX136035601Medicaid
TX84713KOtherBCBS
TX136035609Medicaid
TX136035610Medicaid
TX136035601Medicaid
TX8G4592Medicare PIN
TXTXB149015Medicare PIN
TX050065319OtherRAILROAD
C19076Medicare UPIN
TXTXB103855Medicare PIN
TX84713KOtherBCBS