South Texas Institutes Of Health Inc | |
555 E 5th St Apt 821 Austin TX 78701-3959 | |
(888) 648-3390 | |
(888) 648-3390 |
Full Name | South Texas Institutes Of Health Inc |
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Speciality | Family Medicine |
Location | 555 E 5th St Apt 821, Austin, Texas |
Authorized Official Name and Position | Steven Michael Stoltz (PHYSICIAN EXECUTIVE) |
Authorized Official Contact | 8886483390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
South Texas Institutes Of Health Inc 555 E 5th St Apt 821 Austin TX 78701-3959 Ph: (888) 648-3390 | South Texas Institutes Of Health Inc 555 E 5th St Apt 821 Austin TX 78701-3959 Ph: (888) 648-3390 |
NPI Number | 1376701433 |
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Provider Enumeration Date | 05/27/2008 |
Last Update Date | 05/05/2019 |
Medicare PECOS PAC ID | 5890868483 |
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Medicare Enrollment ID | O20080715000417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376701433 | NPI | - | NPPES |
0001WY | Other | TX | BCBS |
288926301 | Medicaid | TX | |
M8364 | Other | TX | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M8364 (Texas) | Primary |
Provider Name | Steven Michael Stoltz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699955039 PECOS PAC ID: 7214000801 Enrollment ID: I20080715000475 |
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