Stephanian, Edic

Stephanian, Edic is an individual health care provider with primary practice located at 601 Clara Barton Blvd Ste 350 , Garland TX 75042-5747. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Stephanian, Edic can be contacted via phone (972) 426-9900.

Contact Information

Primary practice address
601 Clara Barton Blvd Ste 350 Garland TX 75042-5747
Phone: (972) 426-9900
Fax: (972) 426-9899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J6256 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X J6256 Texas

Profile Details

NPI number 1871543660
LBN Legal business name Stephanian, Edic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871543660 NPPES
Texas MEDICAID 123939402

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