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Contact Information

EDIC STEPHANIAN, MD
601 CLARA BARTON BLVD STE 350
GARLAND, TX75042-5747
 Phone: 972-426-9900
 Fax: 972-426-9899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDIC STEPHANIAN · (Male)

NPI Number 1871543660
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J6256
  • TX Medicaid 123939402
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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