Stephen Somerville Md Pa

LBN: Stephen Somerville Md Pa
Stephen Somerville Md Pa is an health care organization with primary practice located at 709 Hollybrook Dr Suite 5600, Longview TX 75605-2470. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Stephen Somerville Md Pa can be contacted via phone (903) 758-5858, or through Somerville, Stephen Phillip via phone (903) 758-5858.

Contact Information

Primary practice address
709 Hollybrook Dr Suite 5600 Longview TX 75605-2470
Phone: (903) 758-5858
Fax: (903) 758-5864
Website:
Map and Directions
Authorized official contact:
Name: Somerville, Stephen Phillip Doctor of Medicine (MD)
Phone: (903) 758-5858

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1639117260
LBN Legal business name Stephen Somerville Md Pa
DBA Doing business as
Authorized official Somerville, Stephen Phillip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639117260 NPPES
Texas Other 24LZ BCBS-TX GROUP NUMBER
Texas Other 01161942 BCBS-TX GROUP NUMBER
Texas MEDICAID 168835001 BCBS-TX GROUP NUMBER

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