Provider Demographics
NPI:1316989478
Name:INCAVO, STEPHEN J (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:INCAVO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3118 QUENBY AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2338
Mailing Address - Country:US
Mailing Address - Phone:713-441-3569
Mailing Address - Fax:713-790-6614
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-3569
Practice Address - Fax:713-790-6614
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0007751207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery