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Individual

MARIA STEPHAN LAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101253713
VA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
L8517
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163749801
TX
Enumeration date
03/23/2006
Last updated
05/18/2022
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