Provider Demographics
NPI:1821390279
Name:STEINHURST, KEITH PATRICK (RS)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:PATRICK
Last Name:STEINHURST
Suffix:
Gender:M
Credentials:RS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 WORTH RD, BLDG 2792, RM 312
Mailing Address - Street 2:HQ USAMEDCOM (MCOP-E)
Mailing Address - City:FT. SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-6007
Mailing Address - Country:US
Mailing Address - Phone:210-221-6627
Mailing Address - Fax:
Practice Address - Street 1:2050 WORTH RD, BLDG 2792, RM 312
Practice Address - Street 2:HQ USAMEDCOM (MCOP-E)
Practice Address - City:FT. SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6007
Practice Address - Country:US
Practice Address - Phone:210-221-6627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4202172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker