Individual
STEPHAN O HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6522
(888) 972-8644
Mailing address
PO BOX 678207, DALLAS, TX 75267-8207
(800) 841-4236
(706) 653-1162
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
J6474
TX
2085R0202X
Diagnostic Radiology Physician
2019-02896
NC
2085R0202X
Diagnostic Radiology Physician
Primary
81896
SC
2085R0202X
Diagnostic Radiology Physician
J6474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030644103
—
TX
01
—
114261103
FIRSTCARE
—
05
—
200001490A
—
OK
05
—
25754289
—
NM
01
—
8F7708
TEXAS BCBS
TX
01
—
MDJ6474
WORKERS COMPENSATION
—
Enumeration date
05/26/2006
Last updated
02/12/2026
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