# DR. STEPHEN D.C. MAC

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

## Provider details

- **NPI number:** 1912138819
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | 303238 | LA | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | C192895 | CA | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | U9752 | TX | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | U9752 | TX | Yes |

## Other

- **Enumeration date:** 07/27/2009
- **Last updated:** 07/16/2024