Individual
ALVIE THERAL STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8745 SAN JOAQUIN TRL, FORT WORTH, TX 76118-7836
(817) 319-1938
Mailing address
1300 STORM DR, BEDFORD, TX 76022-6748
(817) 319-1938
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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