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Contact Information

JEFFREY S. STEPHENS, M.D., P.A.
1005 W RALPH HALL PKWY
SUITE 221
ROCKWALL, TX75032
 Phone: 972-772-4333
 Fax: 972-772-4601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JEFFREY S. STEPHENS, M.D., P.A.

NPI Number 1093083560
LBN Legal business name JEFFREY S. STEPHENS, M.D., P.A.
Authorized official TERRI PHILLIPS - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2011
Last updated 03/30/2012 - About 14 years ago
Identifiers
TX License # J2983
TX Medicaid 160321901
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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