Organization
STEVEN D. EGGLESTON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DALE EGGLESTON M.D. (SURGEON)
(979) 299-3100
Entity
Organization
Contact information
Practice address
208 OAK DR S STE 602, LAKE JACKSON, TX 77566-5789
(979) 299-3100
(979) 266-9598
Mailing address
208 OAK DR S STE 602, LAKE JACKSON, TX 77566-5789
(979) 299-3100
(979) 266-9598
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L6368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167314701
—
TX
01
—
L6368
STATE PROVIDER NUMBER
TX
Enumeration date
05/24/2007
Last updated
11/14/2019
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