Provider Demographics
NPI:1659412336
Name:LITTLE, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:LITTLE
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 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9782207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170657404Medicaid
TX170657408Medicaid
TX8ED318OtherBLUE CROSS BLUE SHIELD
TXP00429733OtherRAILROAD MEDICARE
LA1886599Medicaid
TXP01309348OtherRR MEDICARE
TX170657403Medicaid
TX8U8383OtherBLUE CROSS BLUE SHIELD
TX170657402Medicaid
TX170657405Medicaid
TX170657406Medicaid
TXP01036895OtherRR MEDICARE
TX8ED318OtherBLUE CROSS BLUE SHIELD
TX170657405Medicaid
TX8U8383OtherBLUE CROSS BLUE SHIELD
TXP01036895OtherRR MEDICARE