Individual
STEPHEN J VANCURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 634-6999
(254) 634-6995
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 634-6995
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F9051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137836610
SUPERIOR CHIPS
TX
05
—
137836610
—
TX
01
—
30055061
MEDICARE RAILROAD
TX
01
—
742736914002
HUMANA/MILITARY-TRICARE
TX
01
—
80590R
MEDICARE PN
TX
01
—
80594R
BLUE CROSS BLUE SHIELD
TX
01
—
E76988
MEDICARE UPIN
—
Enumeration date
11/22/2005
Last updated
05/15/2019
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