Individual
STEPHEN J VANCURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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