Mckernan, Stephen L
Mckernan, Stephen L is an individual health care provider with primary practice located at 690 S Loop 336 W Ste 200 , Conroe TX 77304-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckernan, Stephen L can be contacted via phone (936) 525-3600.Contact Information
Primary practice address
690 S Loop 336 W Ste 200
Conroe TX 77304-3320
Phone: (936) 525-3600
Fax: (936) 525-3624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L5835 | Texas |
Profile Details
| NPI number | 1407855547 |
|---|---|
| LBN Legal business name | Mckernan, Stephen L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 17th, 2020 - about 4 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 | 1407855547 | NPPES |
| Texas | MEDICAID | 158125802 | |
| Texas | MEDICAID | 1581258-02 |
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