Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | E8611 | TX |
N | 208200000X | Surgeon | E8611 | TX |
N | 208600000X | Surgeon | E8611 | TX |
N | 2086S0102X | Surgical Critical Care | E8611 | TX |
NPI | 1588689988 |
---|---|
Provider Name | Stephen M Katz |
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 | 13/07/2006 |
Last Update Date | 19/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
88Y753 | BCBS (01) | TX |
D97443 | (02) | TX |