Provider Demographics
NPI:1992355622
Name:ISLAS, STEVEN (PT, DPT, SCS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ISLAS
Suffix:
Gender:M
Credentials:PT, DPT, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 RUSK ST APT 616
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-3438
Mailing Address - Country:US
Mailing Address - Phone:432-935-3749
Mailing Address - Fax:
Practice Address - Street 1:1111 RUSK ST APT 616
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3438
Practice Address - Country:US
Practice Address - Phone:432-935-3749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-15
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13078722251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports