Individual
DR. STEPHEN A HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, STE 550, TYLER, TX 75702-8369
(903) 510-8718
(903) 525-1218
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J4863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013JE
BLUE CROSS BLUE SHIELD
TX
01
—
100016832
RAILROAD MCR
TX
05
—
132297608
—
TX
05
—
152564401
—
TX
01
—
75-2616977-008
TRICARE
TX
01
—
75-2616977-125
TRICARE
TX
01
—
8FH270
BCBS
TX
01
—
P01536078
RAIL ROAD
TX
Enumeration date
03/01/2006
Last updated
12/07/2015
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