Individual
JACOB T STEPHENSON
Active
Individual
JACOB T STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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