MEDICARE: DR. STEVEN A DOORES 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	174400000X	Specialist	F6582	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4080536	OTHER	TX	AETNA PROVIDER NUMBER
2	00B35Q	OTHER	TX	BLUE BLUE SHIELD OF TEXAS

General Provider Information

NPI Number	:	1538162680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN A DOORES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 190537
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-0537
Country	:	US
Telephone Number	:	972-742-0595
Fax Number	:

Provider Business Practice Location Address
First Line	:	7502 GREENVILLE AVE
Second Line	:	SUITE 600
City	:	DALLAS
State	:	TX
Zip	:	75231-3832
Country	:	US
Telephone Number	:	214-750-6110
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/09/2007

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Directions to “ DR. STEVEN A DOORES M.D.” Practice Location

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