Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | F3457 | TX |
NPI | 1003819582 |
---|---|
Provider Name | Dr. Steven Alan Fein |
First Address | Pasadena, TX 77505-1823 |
Second Address | Pasadena, TX 77505-4047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 02/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
099064001 | (05) | TX |
C15598 | (02) | TX |