Individual
DR. JOHN A STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L3842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152047001
—
TX
01
—
8845M1
BCBS
TX
Enumeration date
09/08/2005
Last updated
07/21/2022
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