MEDICARE: KARIN LEAH STEINAU PAC

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	363A00000X	Physician Assistant	PA01466	TX

General Provider Information

NPI Number	:	1255364964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN LEAH STEINAU PAC

Provider Business Mailing Address
First Line	:	PO BOX 34
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-0034
Country	:	US
Telephone Number	:	713-562-2369
Fax Number	:

Provider Business Practice Location Address
First Line	:	14100 RANCH ROAD 12
Second Line	:	SUITE 900
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-5354
Country	:	US
Telephone Number	:	512-847-0300
Fax Number	:

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	03/15/2012

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