Individual
MRS. GEORGIA S STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14807 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-2020
(210) 495-4500
Mailing address
14807 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-2020
(210) 495-4500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L4138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538381-03
—
TX
01
—
7697457
AETNA
TX
01
—
9152935
CIGNA
TX
Enumeration date
07/08/2005
Last updated
07/12/2011
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