Individual
DR. LARRY RAY STEVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 W HIGHWAY 22, STE. 100, CORSICANA, TX 75110-2450
(903) 654-6800
Mailing address
3201 W HIGHWAY 22, STE. 100, CORSICANA, TX 75110-2450
(903) 654-6800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E2877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128911808
—
TX
Enumeration date
04/05/2006
Last updated
04/02/2009
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