Provider Demographics
NPI:1356588529
Name:HUTTO, STEVEN BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:HUTTO
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 1:900 E 30TH ST
Mailing Address - Street 2:STE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3323
Mailing Address - Country:US
Mailing Address - Phone:512-476-6555
Mailing Address - Fax:512-476-5611
Practice Address - Street 1:900 E 30TH ST STE 300
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3323
Practice Address - Country:US
Practice Address - Phone:512-476-6555
Practice Address - Fax:512-476-5611
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5819207Q00000X
AL30245207Q00000X
ALL.3008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX320718502Medicaid
TX320718501Medicaid
TX280507YKXVMedicare PIN
TX320718501Medicaid
TXP01192467Medicare PIN