Healthcare Provider Details

I. General information

NPI: 1427181932
Provider Name (Legal Business Name): JOHN CHARLES STEFFEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9611 LOUETTA RD
SPRING TX
77379-6550
US

IV. Provider business mailing address

PO BOX 691145
HOUSTON TX
77269-1145
US

V. Phone/Fax

Practice location:
  • Phone: 281-320-9797
  • Fax: 281-257-8359
Mailing address:
  • Phone: 281-320-9797
  • Fax: 281-257-8359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD6184
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: