Individual
STEPHEN STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W HWY 6 STE 105, WACO, TX 76710-5592
(254) 741-6113
Mailing address
27 TIMBER RIDGE TRL, LORENA, TX 76655-3035
(254) 652-5250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74-2600261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207122701
—
TX
Enumeration date
02/06/2007
Last updated
01/30/2013
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