Steven I Udaze, PA
Physician Assistant in Austin, TX. Individual provider (NPI-1).
NPI number1720380751
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1720380751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven I Udaze
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2010
- Last updated
- Mar 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10333 | TX | Yes |
| 363A00000X | Physician Assistant | 014449-1 | NY |
Practice location
1600 W 38th St Ste 308Austin, TX 78731-6406
Phone 512-324-3540
Mailing address
1600 W 38th St Ste 308Austin, TX 78731-6406
Phone 512-324-3540
Other practice locations
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