Organization
PRISCILLA STEPHENS
Active
Other names
Team Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA STEPHENS (OWNER)
(361) 551-2513
Entity
Organization
Contact information
Practice address
1300 N VIRGINIA ST STE 101, PORT LAVACA, TX 77979-2512
(361) 551-2513
(361) 551-2528
Mailing address
1300 N VIRGINIA ST STE 101, PORT LAVACA, TX 77979-2512
(361) 551-2513
(361) 551-2528
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
07/21/2014
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