MEDICARE: DR. STEPHEN KATZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30014	TX

General Provider Information

NPI Number	:	1174913354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN KATZ

Provider Business Mailing Address
First Line	:	3818 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 200
City	:	AUSTIN
State	:	TX
Zip	:	78759-8968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3818 SPICEWOOD SPRINGS RD
Second Line	:	SUITE 200
City	:	AUSTIN
State	:	TX
Zip	:	78759-8968
Country	:	US
Telephone Number	:	512-343-0033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	01/27/2015

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Directions to “ DR. STEPHEN KATZ ” Practice Location

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