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Individual
MICHELE STEFFEK
Active
Individual
MICHELE STEFFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191942501
MEDICAID-00339K
TX
01
—
191942502
MEDICAID-00606K
TX
05
—
191942503
—
TX
01
—
8G6750
MEDICARE-00339K
TX
01
—
8K7712
MEDICARE-00606K
TX
01
—
PA03114
TEXAS STATE LICENSE
TX
Enumeration date
05/24/2006
Last updated
10/13/2011
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