Steven Douglas Pedro in Fort Worth - Specialist

Steven Douglas Pedro - NPI 1982634481

Steven Douglas Pedro is a Specialist in Fort Worth, Texas. Steven Douglas Pedro practices all healthcare services and medical treatments related to Specialist. The NPI Number for Steven Douglas Pedro is 1982634481. The last update date is 2009-11-18.

Steven Douglas Pedro's current location address is 7833 Oakmont Blvd, Fort Worth, Texas. You can contact this provider via phone number 8173360661 and fax number 8173380744. The mailing address for Steven Douglas Pedro is 7833 Oakmont Blvd, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Douglas Pedro
Address 7833 Oakmont Blvd, Fort Worth, Texas
Phone Number 8173360661
Fax Number 8173380744
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1982634481
Provider Enumeration Date 2006-07-03
Last Updated Date 2009-11-18

Provider Mailing Address Detail

Address 7833 Oakmont Blvd
City Fort Worth
State Texas (TX)
Post Code 761324204
Phone Number 8173360661
Fax Number 8173380744

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No D7240
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
75-2627054 TX TAX ID

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FAQs about Steven Douglas Pedro

What is the Steven Douglas Pedro's 1982634481?

The Steven Douglas Pedro's NPI (National Provider Identifier) Number is 1982634481. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Steven Douglas Pedro located?

The Steven Douglas Pedro is located at 7833 Oakmont Blvd, Fort Worth, TX 761324204.

What is Steven Douglas Pedro's specialized field of practice, and what is the corresponding taxonomy classification code?

The Steven Douglas Pedro's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Steven Douglas Pedro receive its 1982634481 assignment from the Centers for Medicare & Medicaid Services?

The Steven Douglas Pedro was assigned its 1982634481 on 2006-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Steven Douglas Pedro, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Steven Douglas Pedro, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-18.

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