Stephens, Chad B

Stephens, Chad B is an individual health care provider with primary practice located at 431 E State Highway 114 Ste 120 , Southlake TX 76092-4416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Stephens, Chad B can be contacted via phone (817) 518-1112.

Contact Information

Primary practice address
431 E State Highway 114 Ste 120 Southlake TX 76092-4416
Phone: (817) 518-1112
Fax: (817) 518-1113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X L3143 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X L3143 Texas

Profile Details

NPI number 1659372290
LBN Legal business name Stephens, Chad B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Jun 8th, 2020 - about 5 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 1659372290 NPPES
Texas MEDICAID 148234112
Texas Other 8CG731

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