Individual
DR. STEPHEN OZANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 W WHEATLAND RD, SUITE 330, DALLAS, TX 75237-3470
(972) 299-6966
(972) 299-9100
Mailing address
PO BOX 543066, GRAND PRAIRIE, TX 75054-3066
(972) 299-6966
(972) 299-9100
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G8637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026EN
BLUE CROSS/SHIELD
TX
05
—
122086504
—
TX
01
—
200038682
RAILROAD MEDICARE
TX
Enumeration date
08/30/2005
Last updated
11/29/2016
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