Stephenson, Jacob T

Stephenson, Jacob T is an individual health care provider with primary practice located at 1102 Bates Ave # Fc1440 , Houston TX 77030-2698. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Stephenson, Jacob T can be contacted via phone (832) 828-3660.

Contact Information

Primary practice address
1102 Bates Ave # Fc1440 Houston TX 77030-2698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X U5819 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 92264 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X U5819 Texas

Profile Details

NPI number 1265411979
LBN Legal business name Stephenson, Jacob T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 7th, 2024 - about last year

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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