Healthcare Provider Details

I. General information

NPI: 1063099737
Provider Name (Legal Business Name): STEVEN KNOTT PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 E SONTERRA BLVD
SAN ANTONIO TX
78258-4347
US

IV. Provider business mailing address

1139 E SONTERRA BLVD
SAN ANTONIO TX
78258-4347
US

V. Phone/Fax

Practice location:
  • Phone: 210-638-2100
  • Fax: 210-495-5965
Mailing address:
  • Phone: 210-638-2100
  • Fax: 210-495-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number37031
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: