Provider Demographics
NPI:1659303576
Name:STERN, STEVEN EMERY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EMERY
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:17070 RED OAK DR
Mailing Address - Street 2:SUITE 201 C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2619
Mailing Address - Country:US
Mailing Address - Phone:281-893-3831
Mailing Address - Fax:281-444-6259
Practice Address - Street 1:17070 RED OAK DR
Practice Address - Street 2:SUITE 201 C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2619
Practice Address - Country:US
Practice Address - Phone:281-893-3831
Practice Address - Fax:281-444-6259
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE4701207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031903001Medicaid
TX031903001Medicaid
TX00AM01Medicare ID - Type Unspecified