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Individual

DR. STEVEN C DIVEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1015 E 32ND ST, SUITE #405, AUSTIN, TX 78705-2707
(512) 476-0895
(512) 476-0898
Mailing address
1015 E 32ND ST, SUITE #405, AUSTIN, TX 78705-2707
(512) 476-0895
(512) 476-0898

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H2341
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136042209
TX
Enumeration date
07/27/2006
Last updated
03/28/2018
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