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Organization
STEPHENVILLE MEDICAL AND SURGICAL CLINIC PA
Active
Organization
STEPHENVILLE MEDICAL AND SURGICAL CLINIC PA
Active
Other names
SMSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIE MCMILLION M.D. (PHYSICIAN CLINIC ADMINISTRATOR)
(254) 968-6051
Entity
Organization
Contact information
Practice address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Mailing address
150 RIVER NORTH BLVD, STEPHENVILLE, TX 76401-1803
(254) 968-6051
(254) 968-4950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NA
TX
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
NA
TX
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E762
GROUP BCBS PROVIDER NUMBE
TX
01
—
0411240001
DME CIGNA GOVERNMENT SERV
TX
05
—
112052901
—
TX
05
—
112052902
—
TX
01
—
CA8089
GROUP RAILROAD MEDICARE #
TX
Enumeration date
06/16/2005
Last updated
11/03/2014
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