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Jack Stephenson, M.D
NPI 1972624542 · on the registry since 2007
Practice
- Address
- 8591 S Broadway Ave
Tyler, TX 75703 - Phone
- (903) 596-9173
- Clinicians at this address
- 17
Additional practice sites
- 1327 Troup Hwy, Tyler, TX
- 23960 Katy Freeway, Katy, TX
Registry record
- Primary taxonomy
- 2082S0105X
2082S0105X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas