Provider Demographics
NPI:1700068699
Name:STEINWAND, TAMARA (PA)
Entity Type:Individual
Prefix:MISS
First Name:TAMARA
Middle Name:
Last Name:STEINWAND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 E SONTERRA BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4055
Mailing Address - Country:US
Mailing Address - Phone:210-402-1222
Mailing Address - Fax:210-402-1224
Practice Address - Street 1:INNOVATIVE SPINE AND ORTHOPEDIC CLINIC
Practice Address - Street 2:325 E SONTERRA BLVD SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-402-1222
Practice Address - Fax:210-402-1224
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05452208600000X, 363A00000X
NMPA2007-0040363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA05452OtherTEXAS MEDICAL LICENSE