Provider Demographics
NPI:1902191273
Name:MICHAEL J. STREITMANN, M.D., P.A.
Entity Type:Organization
Organization Name:MICHAEL J. STREITMANN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STREITMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-667-4600
Mailing Address - Street 1:5009 CAROLINE ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5715
Mailing Address - Country:US
Mailing Address - Phone:713-667-4600
Mailing Address - Fax:713-667-4609
Practice Address - Street 1:5009 CAROLINE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5715
Practice Address - Country:US
Practice Address - Phone:713-667-4600
Practice Address - Fax:713-667-4609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4545207Y00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG84913Medicare UPIN