Individual
STEPHEN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 450, FORT WORTH, TX 76104-2191
(817) 250-7240
(888) 977-1985
Mailing address
1325 PENNSYLVANIA AVE STE 450, FORT WORTH, TX 76104-2191
(817) 250-7240
(888) 977-1985
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
L5701
TX
208600000X
Surgery Physician
L5701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158196902
—
TX
01
—
8H8674
BC/BS
TX
Enumeration date
02/28/2006
Last updated
12/02/2019
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