Individual
STEPHANIE R STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6750 N MACARTHUR BLVD STE 270, IRVING, TX 75039-2469
(214) 496-9700
(214) 496-9707
Mailing address
6750 N MACARTHUR BLVD STE 270, IRVING, TX 75039-2469
(214) 556-0555
(972) 985-4797
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L8203
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
L8203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1646655-03
—
TX
05
—
164665501
—
TX
05
—
164665502
—
TX
Enumeration date
05/16/2006
Last updated
11/08/2022
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