Provider Demographics
NPI:1720010903
Name:CROW, STEVEN CURTIS (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:CURTIS
Last Name:CROW
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 1:4614 NORTH IH 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751
Mailing Address - Country:US
Mailing Address - Phone:512-978-9100
Mailing Address - Fax:512-901-9751
Practice Address - Street 1:4614 NORTH IH 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751
Practice Address - Country:US
Practice Address - Phone:512-978-9100
Practice Address - Fax:512-901-9751
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1512207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149087201Medicaid
TX149087201Medicaid
TX85X155Medicare PIN