Individual
CHRISTOPHER B STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2238
(817) 735-2602
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2238
(817) 735-2602
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
42741 TEMPORARY
TX
207V00000X
Obstetrics & Gynecology Physician
43203 TEMPORARY LIC
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
N9965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204547801
—
TX
01
—
8CC278
BCBS
TX
01
—
P01065511
RAILROAD MEDICARE
TX
Enumeration date
03/11/2009
Last updated
10/22/2012
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