Healthcare Provider Details

I. General information

NPI: 1205179058
Provider Name (Legal Business Name): STEVEN ALEXANDER KORNWEISS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2013
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15511 ST HWY 71 W STE 110
BEE CAVE TX
78738-2825
US

IV. Provider business mailing address

15511 ST HWY 71 W
BEE CAVE TX
78738-2824
US

V. Phone/Fax

Practice location:
  • Phone: 737-301-6450
  • Fax:
Mailing address:
  • Phone: 737-301-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number25MA09858600
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number40496
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: