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Organization
SHIR LANE INC
Active
Organization
SHIR LANE INC
Active
Other names
Accident and Injury Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART D STEPHENSON DC (PRES)
19797791551
Entity
Organization
Contact information
Practice address
1703 E 29TH ST, BRYAN, TX 77802-1406
(197) 977-9155
Mailing address
1703 E 29TH ST, BRYAN, TX 77802
(197) 977-9155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2258
TX
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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