Individual
MR. KEN TOBIAS STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.S.A
Contact information
Practice address
4831 CANYON SHORE DR, HUMBLE, TX 77396-6109
(832) 428-8626
Mailing address
4831 CANYON SHORE DR, HUMBLE, TX 77396-6109
(832) 428-8626
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
11/12/2012
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