Provider Demographics
NPI:1245677145
Name:GILTHORPE, STEFAN PHILIP (MD)
Entity type:Individual
Prefix:DR
First Name:STEFAN
Middle Name:PHILIP
Last Name:GILTHORPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12518 CUTTEN RD # 11
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-1804
Mailing Address - Country:US
Mailing Address - Phone:409-504-5546
Mailing Address - Fax:
Practice Address - Street 1:12518 CUTTEN RD # 11
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1804
Practice Address - Country:US
Practice Address - Phone:409-504-5546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10047095207L00000X
TXR3086207L00000X, 207LP2900X
FLME136506207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology