Organization
NTSS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD BRYAN STEPHENS DO (OWNER)
(940) 627-6201
Entity
Organization
Contact information
Practice address
1851 MEDICAL CENTER DR, DECATUR, TX 76234-3852
(940) 627-6201
(940) 627-6226
Mailing address
1851 MEDICAL CENTER DR, DECATUR, TX 76234-3852
(940) 627-6201
(940) 627-6226
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
L3143
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L3143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056TE
BCBS
TX
05
—
213051001
—
TX
01
—
6374370001
DME PTAN
TX
Enumeration date
01/21/2010
Last updated
09/28/2010
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