Provider Demographics
NPI:1194148874
Name:PURDON, STEVEN (CNIM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:PURDON
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 SPRING SOURCE PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7077
Mailing Address - Country:US
Mailing Address - Phone:832-585-3897
Mailing Address - Fax:
Practice Address - Street 1:803 SPRING SOURCE PL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7077
Practice Address - Country:US
Practice Address - Phone:832-585-3897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic