Individual
MR. STEVIE-DURRELL STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
13014 THYME WAY, SAINT HEDWIG, TX 78152-0240
(334) 748-0707
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81545
TX
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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