Individual
MR. STEPHEN PAUL CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADMINISTRATOR
Contact information
Practice address
1307 8TH AVE STE 311, FORT WORTH, TX 76104-4140
(817) 344-7948
(866) 591-7596
Mailing address
1307 8TH AVE STE 311, FORT WORTH, TX 76104-4140
(817) 344-7948
(866) 591-7596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
015726
TX
253Z00000X
In Home Supportive Care Agency
Primary
051726
TX
Other
Enumeration date
05/13/2016
Last updated
02/19/2024
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