Charles Nevin Stephenson P.A.

NPI 1003984634 - Physician Assistant - 363A00000X

NPI Details
NPI 1003984634
Gender Male
Enumeration Date 12/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1619 HIGHWAY 206
CISCO TX, 76437-6447, US
Phone (254) 442-1441
Fax (254) 442-1466
Business Location
1619 HIGHWAY 206
CISCO TX, 76437-6447, US
Phone (254) 442-1441
Fax (254) 442-1466
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number PA00390
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According to our database, Charles Nevin Stephenson P.A. NPI is 1003984634, taxonomy code is 363A00000X and license number is PA00390, license state is located at Texas. Charles Nevin Stephenson P.A. physically located at 1619 Highway 206, Cisco TX, 76437-6447. NPI Number Charles Nevin Stephenson P.A. has the Individual type.

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1003984634 NPI number is provided on an as is basis without warranty of any kind. 1003984634 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Nevin Stephenson P.A. are for informational purposes only.