Healthcare Provider Details
I. General information
NPI: 1710321013
Provider Name (Legal Business Name): ALLISON BROOKE STEINMETZ D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2013
Last Update Date: 12/17/2021
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4900 MUELLER BLVD SUITE 3S.066C
AUSTIN TX
78723-3051
US
IV. Provider business mailing address
4900 MUELLER BLVD SUITE 3S.066C
AUSTIN TX
78723-3051
US
V. Phone/Fax
- Phone: 512-324-0165
- Fax:
- Phone: 512-324-0165
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | BP1-0045925 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: