Provider Demographics
NPI:1578624979
Name:STEEL, KEVIN ERIK (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ERIK
Last Name:STEEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8122 DATAPOINT DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3444
Mailing Address - Country:US
Mailing Address - Phone:210-615-0600
Mailing Address - Fax:210-292-7737
Practice Address - Street 1:PEACEHEALTH MEDICAL GROUP
Practice Address - Street 2:2979 SQUALICUM PARKWAY, SUITE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-734-2700
Practice Address - Fax:360-734-8362
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP60925890207R00000X, 207UN0901X, 207RC0000X
TXM8359207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CM519OtherBCBS
TX8CM519OtherBCBS