Healthcare Provider Details
I. General information
NPI: 1922129980
Provider Name (Legal Business Name): HOWARD A STEIN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 N WALDROP DR 811
ARLINGTON TX
76012-4705
US
IV. Provider business mailing address
1001 N WALDROP DR 811
ARLINGTON TX
76012-4705
US
V. Phone/Fax
- Phone: 817-274-4548
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170100000X |
| Taxonomy | Ph.D. Medical Genetics |
| License Number | NA |
| License Number State | |
VIII. Authorized Official
Name:
HOWARD
STEIN
Title or Position: OWNER
Credential: MD
Phone: 817-274-4548