Archie, David Stephen
Archie, David Stephen is an individual health care provider with primary practice located at 4920 Ne Stallings Dr , Nacogdoches TX 75965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Archie, David Stephen can be contacted via phone (936) 569-9481.Contact Information
Primary practice address
4920 Ne Stallings Dr
Nacogdoches TX 75965
Phone: (936) 569-9481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | L1794 | Texas |
Profile Details
| NPI number | 1942264536 |
|---|---|
| LBN Legal business name | Archie, David Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | May 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942264536 | NPPES |
| Texas | MEDICAID | 151193302 |
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