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

STEPHEN BLACKSTONE EDSTROM, M.D.

Active

STEPHEN BLACKSTONE EDSTROM, M.D. is a Psychiatry healthcare provider located in JBSA LACKLAND, Texas. NPI 1396942264 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · JBSA LACKLAND, TX

Registration Details

NPI Number
1396942264
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2007 (19.13996258641 yrs)
Last Updated
Jun 6, 2025
Licenses
01066091A (IN)
35.151601 (OH)

Practice Information

Address
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX, 782365638
Browse TX providers · Browse ZIP 78236
Phone
2102926255
Fax
2102927934
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in JBSA LACKLAND, TX

Name Credential NPI
DR. TIMOTHY WILLIAM SOWIN MD 1568441509
DR. MONICA MICHELLE LOVASZ MD 1891769097
DR. VANESSA WAI-JUEN LYONS MD 1669697371
NIKAURY RIVERA ANTONGIORGI MD 1386891232
DR. BELINDA LEE KELLY M.D. 1548494008
STEPHEN ERLACH MD JD 1639517352
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.