Individual
STEPHEN WAYNE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-5265
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K3886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144316002
—
TX
Enumeration date
10/13/2005
Last updated
09/01/2020
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