Stephenson, Georgia S

Stephenson, Georgia S is an individual health care provider with primary practice located at 14807 San Pedro Ave , San Antonio TX 78232-3708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Stephenson, Georgia S can be contacted via phone (210) 495-2020.

Contact Information

Primary practice address
14807 San Pedro Ave San Antonio TX 78232-3708
Phone: (210) 495-2020
Fax: (210) 495-4500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L4138 Texas

Profile Details

NPI number 1528066172
LBN Legal business name Stephenson, Georgia S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jul 12th, 2011 - about 15 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 1528066172 NPPES
Texas Other 7697457 AETNA
Texas MEDICAID 1538381-03 AETNA
Texas Other 9152935 AETNA

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