Healthcare Provider Details

I. General information

NPI: 1477538619
Provider Name (Legal Business Name): STEVE F SPRINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DR MICHAEL DEBAKEY DR
LAKE CHARLES LA
70601-5726
US

IV. Provider business mailing address

501 DR MICHAEL DEBAKEY DR
LAKE CHARLES LA
70601-5724
US

V. Phone/Fax

Practice location:
  • Phone: 337-436-1370
  • Fax: 337-436-1370
Mailing address:
  • Phone: 337-312-8360
  • Fax: 337-312-6711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number023883
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number023883
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: