Provider Demographics
NPI:1962446294
Name:STEVEN B SOTMAN, MD PA
Entity type:Organization
Organization Name:STEVEN B SOTMAN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-295-4153
Mailing Address - Street 1:6100 HARRIS PKWY
Mailing Address - Street 2:SUITE 1210
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-0000
Mailing Address - Country:US
Mailing Address - Phone:281-295-4153
Mailing Address - Fax:817-877-3493
Practice Address - Street 1:6100 HARRIS PKWY
Practice Address - Street 2:SUITE 1210
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-0000
Practice Address - Country:US
Practice Address - Phone:281-295-4153
Practice Address - Fax:817-877-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164297701Medicaid