Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2023 | TX |
N | 213ES0103X | Foot & Ankle Surgery | SC006144 | PA |
NPI | 1083914741 |
---|---|
Provider Name | Dr. Gian Derek Steinhauser |
First Address | Houston, TX 77035-2905 |
Second Address | Bellaire, TX 77401-4528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2010 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
341583802 | (05) | TX |
TXB153833 | (02) | TX |