Healthcare Provider Details

I. General information

NPI: 1770801292
Provider Name (Legal Business Name): STEVEN G. PILKINGTON, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4499 MEDICAL DR STE. 151-A
SAN ANTONIO TX
78229-3735
US

IV. Provider business mailing address

4499 MEDICAL DR STE. 151-A
SAN ANTONIO TX
78229-3735
US

V. Phone/Fax

Practice location:
  • Phone: 210-593-4392
  • Fax:
Mailing address:
  • Phone: 210-593-4392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberM3694
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberM3694
License Number StateTX

VIII. Authorized Official

Name: DR. STEVEN G. PILKINGTON
Title or Position: PHYSICIAN
Credential: MD
Phone: 210-593-4392