Provider Demographics
NPI:1972267425
Name:STEFAN SHUAIB MD PA
Entity Type:Organization
Organization Name:STEFAN SHUAIB MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUAIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-270-3495
Mailing Address - Street 1:705 E BURNS DR
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1437
Mailing Address - Country:US
Mailing Address - Phone:956-270-3495
Mailing Address - Fax:
Practice Address - Street 1:909 BUSINESS PARK DR STE 5
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6054
Practice Address - Country:US
Practice Address - Phone:956-270-3495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty