# PRISCILLA STEPHENS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Team Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124433289
- **Authorized official:** PRISCILLA STEPHENS (OWNER)
- **Authorized official phone:** (361) 551-2513

## Contact information

- **Practice address:** 1300 N VIRGINIA ST STE 101, PORT LAVACA, TX 77979-2512
- **Practice address phone:** (361) 551-2513
- **Practice address fax:** (361) 551-2528
- **Mailing address:** 1300 N VIRGINIA ST STE 101, PORT LAVACA, TX 77979-2512
- **Mailing address phone:** (361) 551-2513
- **Mailing address fax:** (361) 551-2528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 07/21/2014