Individual
DR. STEVEN DOUGLAS PEDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7833 OAKMONT BLVD, FORT WORTH, TX 76132-4204
(817) 336-0661
(817) 338-0744
Mailing address
7833 OAKMONT BLVD, FORT WORTH, TX 76132-4204
(817) 336-0661
(817) 338-0744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D7240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-2627054
TAX ID
TX
Enumeration date
07/03/2006
Last updated
11/18/2009
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