Provider Demographics
NPI:1922839554
Name:CARINI, STEVE
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:CARINI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15104 GENERAL WILLIAMSON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-2330
Mailing Address - Country:US
Mailing Address - Phone:619-379-0451
Mailing Address - Fax:
Practice Address - Street 1:15104 GENERAL WILLIAMSON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-2330
Practice Address - Country:US
Practice Address - Phone:619-379-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46483314172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver