Individual
DAVID ALAN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
910 E HOUSTON ST STE 550, TYLER, TX 75702-8366
(903) 606-8718
(903) 606-1218
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
(903) 606-1218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379114701
—
TX
01
—
75-2616977-008
TRICARE
TX
01
—
8HS542
BCBS
TX
01
—
P01967539
MEDICARE RAIL ROAD
TX
Enumeration date
11/27/2017
Last updated
03/06/2018
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