Healthcare Provider Details

I. General information

NPI: 1154414191
Provider Name (Legal Business Name): STEVEN M. PIPER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 NASA PKWY
HOUSTON TX
77058-3607
US

IV. Provider business mailing address

2101 NASA PKWY
HOUSTON TX
77058-3607
US

V. Phone/Fax

Practice location:
  • Phone: 832-205-5332
  • Fax:
Mailing address:
  • Phone: 832-205-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberR2942
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: