Individual
DR. JOHN A STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E HARRIS AVE, SAN ANGELO, TX 76903-5906
(325) 658-1511
(325) 481-2166
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
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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