Individual
STEPHEN K PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 W. COLORADO BLVD., DALLAS, TX 75208
(214) 947-6700
(214) 947-6701
Mailing address
1441 N. BECKLEY AVENUE, DALLAS, TX 75203
(214) 947-2300
(214) 947-5948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H6503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106076603
—
TX
05
—
106076604
—
TX
01
—
160054411
RAILROAD MEDICARE
TX
01
—
8A4434
BCBS
TX
Enumeration date
07/19/2006
Last updated
05/17/2011
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