Individual
DR. STEPHEN DAVID GELFOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR. MCHE- ZQQ, JBSA FORT SAM HOUSTON,, TX 78234-4504
(210) 915-5503
Mailing address
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR. MCHE- ZQQ, JBSA FORT SAM HOUSTON, TX 78234-4504
(210) 916-5503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E9653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0977399-01
—
TX
01
—
260049941
RAILROAD MEDICARE
—
Enumeration date
06/08/2005
Last updated
08/09/2023
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