Maberry, Stephen D

Maberry, Stephen D is an individual health care provider with primary practice located at 1200 W Rosedale St , Fort Worth TX 76104-4454. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Maberry, Stephen D can be contacted via phone (817) 336-8131.

Contact Information

Primary practice address
1200 W Rosedale St Fort Worth TX 76104-4454
Phone: (817) 336-8131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X J4317 Texas

Profile Details

NPI number 1093754756
LBN Legal business name Maberry, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 9th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093754756 NPPES
Texas MEDICAID 085719501
Texas Other 752656556

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