Individual
MICHAEL STEPHENSON-PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
3042 CROMWELL AVE, WICHITA FALLS, TX 76309-4710
(940) 689-2003
Mailing address
3042 CROMWELL AVE, WICHITA FALLS, TX 76309-4710
(940) 689-2003
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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