Organization
TEXOMA PLASTIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP J STEPHAN MD (PRINCIPLE)
(214) 415-6320
Entity
Organization
Contact information
Practice address
2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
(940) 264-2600
(940) 264-2601
Mailing address
PO BOX 1011, WICHITA FALLS, TX 76307-1011
(214) 522-0210
(214) 522-0474
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L2679
TX
Other
Enumeration date
05/26/2010
Last updated
03/05/2014
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