Individual
DR. STEVEN A DOORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7502 GREENVILLE AVE, SUITE 600, DALLAS, TX 75231-3832
(214) 750-6110
Mailing address
PO BOX 190537, DALLAS, TX 75219-0537
(972) 742-0595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F6582
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B35Q
BLUE BLUE SHIELD OF TEXAS
TX
01
—
4080536
AETNA PROVIDER NUMBER
TX
Enumeration date
05/23/2005
Last updated
07/09/2007
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