Provider Demographics
NPI:1831459031
Name:STAUTBERG, EUGENE FRANK III (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:FRANK
Last Name:STAUTBERG
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:6560 FANNIN ST STE 1016
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2725
Mailing Address - Country:US
Mailing Address - Phone:281-977-4870
Mailing Address - Fax:281-977-4871
Practice Address - Street 1:10970 SHADOW CREEK PKWY STE 130
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:281-977-4870
Practice Address - Fax:281-977-4871
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2019-10-18
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Provider Licenses
StateLicense IDTaxonomies
TXR3598207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery