Individual
DR. STEPHEN D MABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W ROSEDALE ST, FORT WORTH, TX 76104-4454
(817) 336-8131
Mailing address
1200 W ROSEDALE ST, FORT WORTH, TX 76104-4454
(817) 336-8131
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
J4317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085719501
—
TX
01
—
752656556
TAX ID #
TX
Enumeration date
06/06/2006
Last updated
09/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us