Provider Demographics
NPI:1588989958
Name:SCOTT P. STEIN DOPA
Entity type:Organization
Organization Name:SCOTT P. STEIN DOPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DOPA
Authorized Official - Phone:361-572-9772
Mailing Address - Street 1:605 E SAN ANTONIO ST STE 330-E
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6040
Mailing Address - Country:US
Mailing Address - Phone:361-572-9772
Mailing Address - Fax:361-572-9747
Practice Address - Street 1:601 E SAN ANTONIO ST STE 305W
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-572-9772
Practice Address - Fax:361-572-9747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9362207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089841301Medicaid
TX00T5414Medicare PIN
TXG10056Medicare UPIN