MEDICARE: DR. STEVEN LEON GATES D.O.

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	H2397	TX

General Provider Information

NPI Number	:	1184602443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN LEON GATES D.O.

Provider Business Mailing Address
First Line	:	690 S LOOP 336 W
Second Line	:	STE 200
City	:	CONROE
State	:	TX
Zip	:	77304
Country	:	US
Telephone Number	:	936-525-3600
Fax Number	:	936-525-3624

Provider Business Practice Location Address
First Line	:	690 S LOOP 336 W
Second Line	:	STE 200
City	:	CONROE
State	:	TX
Zip	:	77304-3320
Country	:	US
Telephone Number	:	936-525-3600
Fax Number	:	936-525-3624

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

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	03/09/2020

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