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NPI Code Detail

MEDICARE: DR. STEVEN L. ALTSHULER M.D.

MEDICARE:  DR. STEVEN L. ALTSHULER  M.D.
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
12085R0202XDiagnostic Radiology PhysicianG4254TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38CB979OTHERBCBS

General Provider Information

NPI Number : 1336117662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN L. ALTSHULER M.D.
Provider Business Mailing Address
First Line : PO BOX 1888
Second Line :
City : GREENVILLE
State : TX
Zip : 75403-1888
Country : US
Telephone Number : 800-945-2455
Fax Number : 903-453-2541
Provider Business Practice Location Address
First Line : 850 ED HALL DR
Second Line :
City : KAUFMAN
State : TX
Zip : 75142-1861
Country : US
Telephone Number : 800-945-2455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 07/22/2011

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Directions to “ DR. STEVEN L. ALTSHULER M.D.” Practice Location

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