Individual
DR. STEVEN EMIL BAILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1011 AUGUSTA DRIVE, STE 107, HOUSTON, TX 77057
(713) 914-9944
(713) 914-9599
Mailing address
1011 AUGUSTA DRIVE, STE 107, HOUSTON, TX 77057
(713) 914-9944
(713) 914-9599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041785901
—
TX
05
—
041785902
—
TX
05
—
175394901
—
TX
01
—
680013151
RAIL ROAD MEDICARE
TX
01
—
83024P
BCBS
TX
01
—
83030P
BCBS
TX
Enumeration date
05/05/2006
Last updated
06/23/2008
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