MR. Ken Tobias Stevenson, L.S.A

NPI #1023168044 in Humble, Texas

Provider Information

NPI Number
1023168044
Entity Type
Individual
Name
MR. Ken Tobias Stevenson, L.S.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
L.S.A
Enumeration Date
Jan 11, 2007
Last Updated
Nov 12, 2012

Practice Location

Address
4831 CANYON SHORE DR
City
Humble
State
Texas
ZIP Code
77396-6109
Phone
(832) 428-8626

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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