Organization
PHILLIP J. STEPHAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP JOHN STEPHAN M.D. (PRESIDENT)
(214) 415-6320
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 415-6320
Mailing address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 415-6320
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
L2679
TX
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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