Provider Demographics
NPI:1588774517
Name:ARY, STEVE RANDALL (PT)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:RANDALL
Last Name:ARY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 N TWIN CITY HWY
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-3828
Mailing Address - Country:US
Mailing Address - Phone:409-719-0200
Mailing Address - Fax:409-719-0300
Practice Address - Street 1:1039 N TWIN CITY HWY
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-3828
Practice Address - Country:US
Practice Address - Phone:409-719-0200
Practice Address - Fax:409-719-0300
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1072239225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00967WMedicare ID - Type UnspecifiedMEDICARE