Individual
MR. CHARLES SAMUEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1122 AUSTIN HWY, SAN ANTONIO, TX 78209-4844
(210) 342-6488
(210) 342-6725
Mailing address
221 W KINGS HWY, SAN ANTONIO, TX 78212-2965
(210) 736-5043
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
E8936
TX
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
E8936
TX
Other
Enumeration date
07/19/2005
Last updated
08/09/2012
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