Individual
STEPHEN C WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 201, PORT ARTHUR, TX 77640-2000
(409) 853-5288
(409) 853-5274
Mailing address
2501 JIMMY JOHNSON BLVD, SUITE 201, PORT ARTHUR, TX 77640-2000
(409) 853-5288
(409) 853-5274
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
F2098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123423903
—
TX
Enumeration date
09/12/2006
Last updated
02/01/2012
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