Individual
MS. ELEXIS STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2922B MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2321
(214) 426-3645
Mailing address
2922B MLK JR BLVD, DALLAS, TX 75215-2321
(214) 426-3645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15842
TX
363AM0700X
Medical Physician Assistant
PA15842
TX
Other
Enumeration date
06/02/2022
Last updated
10/10/2022
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