# STEPHAN ALLAN SHIVVERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659338069
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | K1676 | TX | — |
| 207V00000X | Obstetrics & Gynecology Physician | K1676 | TX | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | K1676 | TX | Yes |

## Other

- **Enumeration date:** 04/28/2006
- **Last updated:** 08/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 045409202 | — | TX |
| 05 | — | 045409204 | — | TX |