Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES NEVIN STEPHENSON, P.A.
Active Sole ProprietorCHARLES NEVIN STEPHENSON, P.A. is a Physician Assistant healthcare provider located in CISCO, Texas. NPI 1003984634 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CISCO, TX
Registration Details
- NPI Number
- 1003984634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2006 (19.694774796514 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA00390 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1619 HIGHWAY 206CISCO, TX, 764376447Browse TX providers · Browse ZIP 76437
- Phone
- 2544421441
- Fax
- 2544421466
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.