Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | L6561 | TX |
N | 111NI0900X | Internist | L6561 | TX |
Y | 207RG0100X | Gastroenterologist | L6561 | TX |
NPI | 1053340638 |
---|---|
Provider Name | Stephen C Pappas |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 26/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8S5473 | BCBS (01) | TX |
F25432 | (02) | TX |
P00396810 | MEDICARE RAILROAD (01) | TX |