Individual
STEVEN CRAIG COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE B309, DALLAS, TX 75230-2540
(972) 566-6996
(972) 566-3107
Mailing address
7777 FOREST LN STE B309, DALLAS, TX 75230-2540
(972) 566-6996
(972) 566-3107
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
K2437
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
K2437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100757703
—
TX
Enumeration date
06/05/2006
Last updated
04/29/2021
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