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Organization
STEPHEN T. BLACK, MD., PA
Active
Organization
STEPHEN T. BLACK, MD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN T. BLACK MD (OWNER)
(214) 770-6300
Entity
Organization
Contact information
Practice address
4204 SAINT ANDREWS BLVD, IRVING, TX 75038-6440
(214) 327-3468
(817) 877-0350
Mailing address
PO BOX 226741, DALLAS, TX 75222-6741
(888) 854-3822
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2501
TX
Other
Enumeration date
01/17/2011
Last updated
02/04/2011
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