Individual
DR. STEPHEN DOUGLAS HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4419 FRONTIER TRL, SUITE 110, AUSTIN, TX 78745-1686
(512) 444-7208
(512) 444-2343
Mailing address
4419 FRONTIER TRL, SUITE 110, AUSTIN, TX 78745-1686
(512) 444-7208
(512) 444-2343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E1198
TX
207ND0101X
MOHS-Micrographic Surgery Physician
E1198
TX
207NS0135X
Procedural Dermatology Physician
E1198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122735702
—
TX
Enumeration date
02/22/2006
Last updated
04/19/2019
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