Provider Demographics
NPI:1760489595
Name:ESSES, STEPHEN IVOR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:IVOR
Last Name:ESSES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:STE 1016
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2725
Mailing Address - Country:US
Mailing Address - Phone:713-333-4110
Mailing Address - Fax:713-333-4111
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1016
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-333-4110
Practice Address - Fax:713-333-4111
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1656207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1149585-05Medicaid
TXF07242Medicare UPIN
TX1149585-05Medicaid
TXTXB122445Medicare PIN