Provider Demographics
NPI:1669674453
Name:ABRON, STEPHANIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:C
Last Name:ABRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:C
Other - Last Name:ABRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2040 NORTH LOOP W STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8114
Mailing Address - Country:US
Mailing Address - Phone:713-884-8180
Mailing Address - Fax:713-884-8186
Practice Address - Street 1:2040 NORTH LOOP W STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8114
Practice Address - Country:US
Practice Address - Phone:713-884-8180
Practice Address - Fax:713-884-8186
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7983208100000X
LAMD0262962081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2035487-02Medicaid
TX3012734-01Medicaid
TX2035487-02Medicaid
TXTXB102731Medicare PIN