MEDICARE: DR. STEPHEN ALBERT MCGUIRE MD

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	2084N0400X	Neurology Physician	F4953	TX

General Provider Information

NPI Number	:	1750369179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN ALBERT MCGUIRE MD

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:	DEPARTMENT OF NEUROLOGY
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-617-5161
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SAN ANTONIO
Second Line	:	7703 FLOYD CURL DRIVE MAIL CODE 7883
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3900
Country	:	US
Telephone Number	:	210-617-5161
Fax Number	:

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/16/2007

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