Healthcare Provider Details
I. General information
NPI: 1083318505
Provider Name (Legal Business Name): STEVEN LAXTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/28/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
920 MADISON AVE STE 447
MEMPHIS TN
38103-3438
US
IV. Provider business mailing address
1840 MEDICAL CENTER PKWY STE 403
MURFREESBORO TN
37129-3237
US
V. Phone/Fax
- Phone: 615-396-6449
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 73759 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 73759 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: