Shivvers, Stephan Allan

Shivvers, Stephan Allan is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Shivvers, Stephan Allan can be contacted via phone (214) 645-0624.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Phone: (214) 645-0624
Fax: (214) 645-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K1676 Texas
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X K1676 Texas
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X K1676 Texas

Profile Details

NPI number 1659338069
LBN Legal business name Shivvers, Stephan Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 5th, 2026 - about 3 months 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 1659338069 NPPES
Texas MEDICAID 045409204
Texas MEDICAID 045409202

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