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Individual

STEPHEN PENN LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-3216
Mailing address
PO BOX 1888, GREENVILLE, TX 75403-1888
(800) 945-2455
(903) 453-2541

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K3308
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118682704
TX
Enumeration date
05/22/2006
Last updated
11/29/2021
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