Charles Nevin Stephenson, P.A.

NPI #1003984634 in Cisco, Texas

Provider Information

NPI Number: 1003984634
Entity Type: Individual
Name: Charles Nevin Stephenson, P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1619 HIGHWAY 206
City: Cisco
State: Texas
ZIP Code: 76437-6447
Phone: (254) 442-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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