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Individual

STEPHEN LITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L9782
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170657402
TX
05
170657403
TX
05
170657404
TX
05
170657405
TX
05
170657406
TX
05
170657408
TX
05
1886599
LA
01
8ED318
BLUE CROSS BLUE SHIELD
TX
01
8U8383
BLUE CROSS BLUE SHIELD
TX
01
P00429733
RAILROAD MEDICARE
TX
01
P01036895
RR MEDICARE
TX
01
P01309348
RR MEDICARE
TX
Enumeration date
02/08/2007
Last updated
08/31/2017
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