Individual
JACOB T STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 BATES AVE # FC1440, HOUSTON, TX 77030-2698
(832) 828-3660
Mailing address
1102 BATES AVE # FC1440, HOUSTON, TX 77030-2698
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
U5819
TX
2086S0120X
Pediatric Surgery Physician
92264
CA
2086S0120X
Pediatric Surgery Physician
Primary
U5819
TX
Other
Enumeration date
01/11/2006
Last updated
01/07/2024
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