Individual
DR. STEVEN B. EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 850-1190
(713) 850-1327
Mailing address
PO BOX 6002, PROVIDER ENROLLMENT - NCW4, URBANA, IL 61803-6002
(217) 383-6792
(217) 326-2856
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G3324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122813205
—
TX
Enumeration date
07/18/2005
Last updated
11/06/2020
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