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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP JOHN STEPHAN, M.D.

Active

PHILLIP JOHN STEPHAN, M.D. is a Plastic Surgery healthcare provider located in WICHITA FALLS, Texas. NPI 1053387399 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · WICHITA FALLS, TX

Registration Details

NPI Number
1053387399
Provider Type
Individual
Gender
Male
NPI Issued
Feb 27, 2006 (20.469948176214 yrs)
Last Updated
Mar 6, 2014
Licenses
L2679 (TX)
L2679 (TX)

Practice Information

Address
2200 KELL BLVD
WICHITA FALLS, TX, 763094401
Browse TX providers · Browse ZIP 76309
Phone
9402642600
Fax
9402642601
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Plastic Surgery
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.