Edic Stephanian in Garland - Surgery

Edic Stephanian - NPI 1871543660

Edic Stephanian is a Surgery in Garland, Texas. Edic Stephanian practices all healthcare services and medical treatments related to Surgery. The NPI Number for Edic Stephanian is 1871543660. The last update date is 2021-06-30.

Edic Stephanian's current location address is 601 Clara Barton Blvd Ste 350, Garland, Texas. You can contact this provider via phone number 9724269900 and fax number 9724269899. The mailing address for Edic Stephanian is 601 Clara Barton Blvd Ste 350, Garland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Edic Stephanian
Address 601 Clara Barton Blvd Ste 350, Garland, Texas
Phone Number 9724269900
Fax Number 9724269899
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871543660
Provider Enumeration Date 2006-05-11
Last Updated Date 2021-06-30

Provider Mailing Address Detail

Address 601 Clara Barton Blvd Ste 350
City Garland
State Texas (TX)
Post Code 750425747
Phone Number 9724269900
Fax Number 9724269899

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No J6256
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123939402 TX --

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FAQs about Edic Stephanian

What is the unique 10-digit identification code issued to Edic Stephanian by the Centers for Medicare & Medicaid Services?

The Edic Stephanian has been assigned the NPI (National Provider Identifier) 1871543660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Edic Stephanian's facilities are situated?

The facilities of Edic Stephanian are physically located at the following address: 601 Clara Barton Blvd Ste 350, Garland, TX, 750425747.

What is the area of specialization for Edic Stephanian, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Edic Stephanian is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1871543660 to Edic Stephanian?

The Edic Stephanian received its 1871543660 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.

As of what date were the details pertaining to Edic Stephanian last refreshed?

The information related to the Edic Stephanian, including its address, specialty, and other relevant details, was last updated on 2021-06-30.

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