Provider Demographics
NPI:1649246356
Name:GREEFKENS, STEPHEN EDWARD (DO)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:EDWARD
Last Name:GREEFKENS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3851 ROGER BROOKE DR
Mailing Address - Street 2:MCHE-DP
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4501
Mailing Address - Country:US
Mailing Address - Phone:210-916-0765
Mailing Address - Fax:210-916-1254
Practice Address - Street 1:3851 ROGER BROOKE DR
Practice Address - Street 2:MCHE-DP
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4501
Practice Address - Country:US
Practice Address - Phone:210-916-0765
Practice Address - Fax:210-916-1254
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA20A50772080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics