Provider Demographics
NPI:1780686303
Name:MINOR, STEVEN T (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:MINOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 W 38TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1000
Mailing Address - Country:US
Mailing Address - Phone:512-324-3440
Mailing Address - Fax:512-406-6513
Practice Address - Street 1:209 S CHURCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2713
Practice Address - Country:US
Practice Address - Phone:512-504-0860
Practice Address - Fax:512-324-3449
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
TXF4289207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137542011Medicaid
TX137542012Medicaid
TX8FY884OtherBCBS
TX137542011Medicaid
TX8FY884OtherBCBS
B24927Medicare UPIN