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Individual

MICHAEL DAVID STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BAMC, 3551 ROGER BROOKE DR., FORT SAM HOUSTON, TX 78231
(210) 390-9165
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
AFE65527
CA
208000000X
Pediatrics Physician
Primary
Q2394
TX

Other

Enumeration date
02/02/2006
Last updated
10/24/2019
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