| Kevin Stephens Md Pa | |
|
4100 Duval Rd Bldg 2 Ste 202 Austin TX 78759 | |
| (512) 454-1123 | |
| (512) 454-1710 |
| Full Name | Kevin Stephens Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4100 Duval Rd, Austin, Texas |
| Authorized Official Name and Position | Kevin Austin Stephens (PRESIDENT MD) |
| Authorized Official Contact | 5124541123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Stephens Md Pa 4100 Duval Rd Bldg 2 Ste 202 Austin TX 78759 Ph: (512) 454-1123 | Kevin Stephens Md Pa 4100 Duval Rd Bldg 2 Ste 202 Austin TX 78759 Ph: (512) 454-1123 |
| NPI Number | 1710168935 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 8921031493 |
|---|---|
| Medicare Enrollment ID | O20050914001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710168935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J9820 (Texas) | Primary |
| Provider Name | Kevin A Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255414314 PECOS PAC ID: 2567495039 Enrollment ID: I20050914001415 |
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