Womack, Stephen
Womack, Stephen is an sole proprietor health care provider with primary practice located at 906 N 6Th St , Longview TX 75601-5532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Womack, Stephen can be contacted via phone (903) 753-2246.Contact Information
Primary practice address
906 N 6Th St
Longview TX 75601-5532
Phone: (903) 753-2246
Fax: (903) 753-4470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K1136 | Texas |
Profile Details
| NPI number | 1295730968 |
|---|---|
| LBN Legal business name | Womack, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Mar 13th, 2017 - about 8 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 | 1295730968 | NPPES |
| Texas | MEDICAID | 030653210 | |
| Texas | MEDICAID | 030653208 |
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