Cisco Medical Clinic, P.c.

NPI #1427116938 in Cisco, Texas

Provider Information

NPI Number: 1427116938
Entity Type: Organization
Organization Name: Cisco Medical Clinic, P.c.
Primary Specialty: Physician Assistant
Enumeration Date: Dec 5, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: CHARLES NEVIN STEPHENSON, P.A.
Title: P. A.
Phone: (254) 442-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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