Individual
STEPHEN WILLIAM HAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-2310
(903) 342-6796
Mailing address
4116 CONCORD PL, TEXARKANA, TX 75503-0995
(870) 310-1616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2081360
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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