Provider Demographics
NPI:1285012641
Name:AVERS, STEVEN JAMES (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAMES
Last Name:AVERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S CENTRAL EXPY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3742
Mailing Address - Country:US
Mailing Address - Phone:972-547-8000
Mailing Address - Fax:972-547-0632
Practice Address - Street 1:130 S CENTRAL EXPY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:972-547-8000
Practice Address - Fax:972-547-0632
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXR4183208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program