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Individual

GARY BEN STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
32005
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AMERIGROUP-10031217
GARY STEPHENS, CRNA
TX
01
BLUE CROSS-82822U
GARY STEPHENS, CRNA
TX
Enumeration date
05/27/2006
Last updated
07/13/2026
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