Jacob T Stephenson, MD | |
1102 Bates Ave # Fc1440, Houston, TX 77030-2698 | |
(832) 828-3660 | |
Not Available |
Full Name | Jacob T Stephenson |
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Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1102 Bates Ave # Fc1440, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265411979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | U5819 (Texas) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 92264 (California) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | U5819 (Texas) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
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Jacob T Stephenson, MD 1102 Bates Ave # Fc1440, Houston, TX 77030-2698 Ph: (832) 828-3660 | Jacob T Stephenson, MD 1102 Bates Ave # Fc1440, Houston, TX 77030-2698 Ph: (832) 828-3660 |
Solange Erlyn Cox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-2360 | |
Dr. Mayrim V. Rios Perez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 902 Frostwood Dr Ste 265, Houston, TX 77024 Phone: 713-785-5007 Fax: 713-785-8877 | |
Dr. Amanda Anne Myers, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Dr. Gail E Burbridge Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Binz St, Suite 1362, Houston, TX 77004 Phone: 713-523-2411 Fax: 713-796-8952 | |
John Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 St Joseph Pkwy Ste 1004, Houston, TX 77002 Phone: 936-441-1010 | |
Dr. John Michael Duncan Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1101 Bates Ave, Ste P115, Houston, TX 77030 Phone: 832-355-4900 Fax: 832-355-3770 | |
Dr. Irfan I Wadiwala, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13323 Dotson Rd Ste 210, Houston, TX 77070 Phone: 281-653-6544 |