Stevens Park Clinic Medical Group in Dallas - Family Medicine
Stevens Park Clinic Medical Group - NPI 1326240839
Stevens Park Clinic Medical Group is a Family Medicine in Dallas, Texas. Stevens Park Clinic Medical Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stevens Park Clinic Medical Group is 1326240839. The last update date is 2015-03-02.
Stevens Park Clinic Medical Group's current location address is 2100 W Colorado Blvd, Dallas, Texas. You can contact this provider via phone number 2149434631 and fax number 2149465334. The mailing address for Stevens Park Clinic Medical Group is 2100 W Colorado Blvd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stevens Park Clinic Medical Group |
|---|---|
| Address | 2100 W Colorado Blvd, Dallas, Texas |
| Phone Number | 2149434631 |
| Fax Number | 2149465334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bryant M Kevin |
| Credentials | D.O. |
| Telephone Number | 2149434631 |
NPI Number Detail
| NPI Number | 1326240839 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2015-03-02 |
Provider Mailing Address Detail
| Address | 2100 W Colorado Blvd |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752111900 |
| Phone Number | 2149434631 |
| Fax Number | 2149465334 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | K2425 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 144698103 | TX | -- | |
| 00500R | TX | MEDICARE PTAN |
Post Comment/ Review Below
What is the Stevens Park Clinic Medical Group's unique identification number?
The Stevens Park Clinic Medical Group has been assigned the NPI (National Provider Identifier) Number 1326240839 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Stevens Park Clinic Medical Group?
The Stevens Park Clinic Medical Group is situated at 2100 W Colorado Blvd, in the city of Dallas, state of TX, with the zip code 752111900.
What is Stevens Park Clinic Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stevens Park Clinic Medical Group is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326240839 to Stevens Park Clinic Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1326240839 to Stevens Park Clinic Medical Group on 2007-06-05.
As of what date were the Stevens Park Clinic Medical Group's details last updated?
The information pertaining to the Stevens Park Clinic Medical Group, including its address, specialty, and other details, was most recently updated on 2015-03-02.
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