Stephen Somerville Md Pa in Longview - Anatomic Pathology & Clinical Pathology

Stephen Somerville Md Pa - NPI 1639117260

Stephen Somerville Md Pa is a Anatomic Pathology & Clinical Pathology in Longview, Texas. Stephen Somerville Md Pa practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Stephen Somerville Md Pa is 1639117260. The last update date is 2008-04-28.

Stephen Somerville Md Pa's current location address is 709 Hollybrook Dr, Longview, Texas. You can contact this provider via phone number 9037585858 and fax number 9037585864. The mailing address for Stephen Somerville Md Pa is 709 Hollybrook Dr, Longview, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stephen Somerville Md Pa
Address 709 Hollybrook Dr, Longview, Texas
Phone Number 9037585858
Fax Number 9037585864
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Somerville Phillip Stephen
Credentials M.D.
Telephone Number 9037585858

NPI Number Detail

NPI Number 1639117260
Provider Enumeration Date 2006-06-04
Last Updated Date 2008-04-28

Provider Mailing Address Detail

Address 709 Hollybrook Dr
City Longview
State Texas (TX)
Post Code 756052470
Phone Number 9037585858
Fax Number 9037585864

Provider's Primary Taxonomy Detail

Speciality Anatomic Pathology & Clinical Pathology
Taxonomy 207Zp0102X
Definition:
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24LZ TX BCBS-TX GROUP NUMBER
1161942 TX AMERIGROUP
168835001 TX --

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FAQs about Stephen Somerville Md Pa

What is the unique provider identifier assigned to Stephen Somerville Md Pa?

The Stephen Somerville Md Pa has been issued the NPI (National Provider Identifier) 1639117260 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Stephen Somerville Md Pa is physically located?

The Stephen Somerville Md Pa is physically situated at the following address: 709 Hollybrook Dr, Longview, TX, 756052470.

What is the area of specialization for Stephen Somerville Md Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stephen Somerville Md Pa is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of expertise is 207Zp0102X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639117260 to Stephen Somerville Md Pa?

The Centers for Medicare & Medicaid Services assigned the 1639117260 to Stephen Somerville Md Pa on 2006-06-04.

As of what date were the details related to Stephen Somerville Md Pa most recently updated or revised?

The information pertaining to Stephen Somerville Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-28.

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