MEDICARE: HARRY PAUL STIEFEL M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	F2044	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417929183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY PAUL STIEFEL M.D

Provider Business Mailing Address
First Line	:	811 W INTERSTATE 20 STE 212
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5873
Country	:	US
Telephone Number	:	817-275-3309
Fax Number	:	817-275-0071

Provider Business Practice Location Address
First Line	:	811 W INTERSTATE 20
Second Line	:	STE. 212
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5870
Country	:	US
Telephone Number	:	817-275-3309
Fax Number	:	817-275-0071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	11/04/2019

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