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Organization
STEPHEN C SPAIN
Active
Organization
STEPHEN C SPAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C SPAIN MD (OWNER)
(903) 561-8300
Entity
Organization
Contact information
Practice address
5040 KINSEY DR STE 300, TYLER, TX 75703-3046
(903) 561-8300
(903) 561-8327
Mailing address
1702 HOLLY CREEK DR, TYLER, TX 75703-0907
(903) 561-8300
(903) 561-8327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010054743
RAILROAD MEDICARE
—
05
—
133341103
—
TX
01
—
89X859
BLUE CROSS
—
Enumeration date
02/20/2007
Last updated
08/22/2026
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