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Individual

STEPHEN TABOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1010 S PONDS DR, WEBSTER, TX 77598-1409
(713) 442-4300
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M7677
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M7677
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
309859201
TX
05
309859202
TX
05
309859203
TX
Enumeration date
05/10/2007
Last updated
04/30/2020
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