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Individual

STEPHEN THOMASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9597
Mailing address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(817) 929-7157

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P2544
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304007301
TX
05
304007302
TX
05
304007303
TX
01
8DG502
BCBSTX
TX
Enumeration date
04/10/2009
Last updated
09/14/2022
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