Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | L0985 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | L0985 | TX |
NPI | 1265472518 |
---|---|
Provider Name | Stephen Robert Bindner |
First Address | Bedford, TX 76021-1116 |
Second Address | Bedford, TX 76021-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 22/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144572802 | (05) | TX |
144572803 | (05) | TX |
G47458 | (02) | TX |