Individual
DR. JILL STANLEY STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3500 GASTON AVE, SUITE 958, DALLAS, TX 75246-2017
(214) 826-6276
(214) 826-6223
Mailing address
3600 GASTON AVE, WADLEY TOWER, SUITE 958, DALLAS, TX 75246-1800
(214) 826-6276
(214) 826-6223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F8666
BCBS
TX
Enumeration date
08/04/2006
Last updated
08/23/2011
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