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Organization

MICHEL STEPHAN MD PA

Active
Other names
TEXAS SURGERY ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEL KHAMIS STEPHAN M D (PRESIDENT)
(972) 226-0405
Entity
Organization

Contact information

Practice address
2540 N GALLOWAY AVE, #101, MESQUITE, TX 75150-6306
(972) 226-0405
(972) 270-4959
Mailing address
2540 NTH GALLOWAY AVENUE #101, MESQUITE, TX 75150
(972) 226-0405
(972) 270-4959

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F8687
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
082476501
TX
05
123330601
TX
Enumeration date
03/15/2006
Last updated
09/26/2016
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