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Contact Information

BRADLEY STEVENS, PA-C
2141 HAMILTON WAY
STE. 100
SAN ANGELO, TX76904
 Phone: 325-245-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRADLEY STEVENS · (Male)

NPI # 1205899721
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/07/2006
Last updated 01/08/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA03638
  • TX Medicaid 182239701
  • TX Other 8N8582 BLUE CROSS
Hospital affiliation(s) Not Available
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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