Provider Demographics
NPI:1780665323
Name:STEINKULLER, PAUL G (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:G
Last Name:STEINKULLER
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:PO BOX 4771
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4771
Mailing Address - Country:US
Mailing Address - Phone:832-822-3237
Mailing Address - Fax:713-796-8110
Practice Address - Street 1:6701 FANNIN ST
Practice Address - Street 2:SUITE 510.00
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2316
Practice Address - Country:US
Practice Address - Phone:832-822-3230
Practice Address - Fax:832-825-4776
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9424207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137835814Medicaid
TX137835816Medicaid
TX137835815Medicaid
TX2226681OtherBLUE LINK
TX8G7724OtherBC/BS
TX137835802Medicaid
TX180017871Medicaid
TXTXB116447Medicare PIN
TX180017871Medicare PIN
TX137835816Medicaid
TX8G7724OtherBC/BS
TX137835814Medicaid
TX8L0834Medicare PIN