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Michel Khamis Stephan, MD

Surgery in Mesquite, TX. Individual provider (NPI-1).

NPI number1912966938
StatusActive
Last updated in NPPESOct 3, 2013

Details

NPI
1912966938
Entity type
Individual (NPI-1)
Name
Michel Khamis Stephan
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2006
Last updated
Oct 3, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryF8687TXYes
2086S0129X F8687TX

Practice location

2540 Nth Galloway Avenue
101
Mesquite, TX 75150

Phone 972-226-0405 · Fax 972-270-4959

Mailing address

2540 Nth Galloway Avenue
101
Mesquite, TX 75150

Phone 972-226-0405 · Fax 972-270-4959

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