Provider Demographics
NPI:1184893125
Name:HUGHES, STEVE ALLEN (RN)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:ALLEN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 SAINT JOHN DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2331
Mailing Address - Country:US
Mailing Address - Phone:281-997-6236
Mailing Address - Fax:
Practice Address - Street 1:2500 WILCREST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2752
Practice Address - Country:US
Practice Address - Phone:866-312-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX525710363LF0000X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184893125OtherTRICARE
TX204595701Medicaid
TX8Y5002OtherBCBSTX
TX182797400OtherDEPT OF LABOR
TX204595701Medicaid
TXP00808351Medicare PIN
TX8Y5002OtherBCBSTX