Organization
JEFFREY S. STEPHENS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI R PHILLIPS (PRACTICE MANAGER)
(972) 772-4333
Entity
Organization
Contact information
Practice address
1005 W RALPH HALL PKWY, SUITE 221, ROCKWALL, TX 75032
(972) 772-4333
(972) 772-4601
Mailing address
1005 W RALPH HALL PKWY, SUITE 221, ROCKWALL, TX 75032-6658
(972) 772-4333
(972) 772-4601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J2983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160321901
—
TX
Enumeration date
12/12/2011
Last updated
03/30/2012
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