Organization
STEVEN L FIELDS MD PA
Active
Parent organization
STEVEN L FIELDS MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEVEN L FIELDS MD PA
Authorized official
MICHAEL PITTMON (ADMINISTRATOR)
(903) 663-4800
Entity
Organization
Contact information
Practice address
1551 HIGHWAY 34 S, RENAISSANCE HOSPITAL RADIOLOGY DEPARTMENT, TERRELL, TX 75160-4833
(972) 563-7611
(972) 551-6808
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-4800
(903) 663-0378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J4109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188860401
—
TX
Enumeration date
08/18/2008
Last updated
08/18/2008
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