Healthcare Provider Details

I. General information

NPI: 1164423364
Provider Name (Legal Business Name): VICTOR GORDON STIEBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 PHILLIPS AVE
PITTSBURGH PA
15217-1808
US

IV. Provider business mailing address

6502 NURSERY DRIVE SUITE 100
VICTORIA TX
77904
US

V. Phone/Fax

Practice location:
  • Phone: 412-521-8521
  • Fax:
Mailing address:
  • Phone: 361-575-0611
  • Fax: 361-579-6913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD047957L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number047958L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberQ0574
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: