Individual
MR. DONALD JOE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1701 PINE ST, ABILENE, TX 79601-3043
(325) 677-6219
(325) 677-0129
Mailing address
1701 PINE ST, ABILENE, TX 79601-3043
(325) 677-6219
(325) 677-0129
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094750901
—
TX
01
—
89N525
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
970024360
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
03/27/2009
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