Provider Demographics
NPI:1669436325
Name:HAVARD, STEVEN P (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:HAVARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1754 BROAD PARK CIRCLE N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7833
Mailing Address - Country:US
Mailing Address - Phone:817-225-2718
Mailing Address - Fax:817-225-2771
Practice Address - Street 1:1754 BROAD PARK CIRCLE N
Practice Address - Street 2:SUITE 201
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7833
Practice Address - Country:US
Practice Address - Phone:817-225-2718
Practice Address - Fax:817-225-2771
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9235207RH0005X, 207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168236101Medicaid
TX168236101Medicaid
TX8C2578Medicare PIN