MEDICARE: BARRY T. STEEVER ANP

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	363LA2200X	Adult Health Nurse Practitioner	000000	TX

General Provider Information

NPI Number	:	1568463099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY T. STEEVER ANP

Provider Business Mailing Address
First Line	:	PO BOX 2600
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78299-2600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3551 ROGER BROOKE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78234-4504
Country	:	US
Telephone Number	:	210-916-9900
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	03/12/2020

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