Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | J0961 | TX |
N | 207R00000X | Internist | J0961 | TX |
N | 111NI0900X | Internist | J0961 | TX |
NPI | 1003840877 |
---|---|
Provider Name | Stephen G Hecht |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
82987K | BCBS (01) | TX |
E96299 | (02) | TX |