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Individual

VAN STEVEN MASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 771-8600
Mailing address
PO BOX 2200, LYTLE, TX 78052-2200

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
17711
NH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
F3228
TX
207Q00000X
Family Medicine Physician
17711
NH
208M00000X
Hospitalist Physician
17711
NH

Other

Enumeration date
05/10/2006
Last updated
10/28/2022
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