Individual
JERRY ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3960
TX
207RC0000X
Cardiovascular Disease Physician
Primary
L3960
TX
207RI0011X
Interventional Cardiology Physician
L3960
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153524702
—
TX
05
—
153524703
—
TX
05
—
153524704
—
TX
05
—
1886548
—
LA
01
—
8W8477
BLUE CROSS BLUE SHIELD
TX
01
—
P00433682
RAILROAD MEDICARE
TX
01
—
P01036884
RR MEDICARE
TX
01
—
P01309338
RR MEDICARE
TX
Enumeration date
06/11/2007
Last updated
11/30/2016
Update your record
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