MEDICARE: STEVEN T MINOR 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	207RC0000X	Cardiovascular Disease Physician	F4289	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8FY884	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1780686303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN T MINOR MD

Provider Business Mailing Address
First Line	:	1301 W 38TH ST
Second Line	:	SUITE 400
City	:	AUSTIN
State	:	TX
Zip	:	78705-1000
Country	:	US
Telephone Number	:	512-324-3440
Fax Number	:	512-406-6513

Provider Business Practice Location Address
First Line	:	209 S CHURCH ST
Second Line	:	SUITE A
City	:	LOCKHART
State	:	TX
Zip	:	78644-2713
Country	:	US
Telephone Number	:	512-504-0860
Fax Number	:	512-324-3449

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	11/15/2016

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Directions to “ STEVEN T MINOR MD” Practice Location

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