Individual
MS. MALIA LINDA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 N CENTRAL EXPY STE 340, DALLAS, TX 75243-3755
(972) 972-4851
(972) 556-5202
Mailing address
1540 KELLER PKWY STE 108-429, KELLER, TX 76248-3686
(972) 771-2011
(877) 292-3457
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
104379
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
828628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311867101
—
TX
05
—
311867102
—
TX
01
—
8730UD
BCBS PIN
TX
01
—
8846UG
BCBS
TX
01
—
P01138497
RAILROAD MEDICARE
TX
01
—
P01446761
RR
TX
Enumeration date
01/04/2012
Last updated
12/20/2025
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