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Individual

STEVEN DALE EGGLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
217A OAK DR S, LAKE JACKSON, TX 77566-5675
(979) 299-3100
(979) 266-9598
Mailing address
217A OAK DR S, LAKE JACKSON, TX 77566-5675
(979) 299-3100
(979) 266-9598

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L6368
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167314701
TX
Enumeration date
05/16/2006
Last updated
12/06/2021
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