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Individual

STEFAN SHUAIB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
909 BUSINESS PARK DR, MISSION, TX 78572-6052
(956) 362-2171
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-2171

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R1646
TX
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
R1646
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
367742901
TX
Enumeration date
04/03/2012
Last updated
07/21/2022
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