Doctor Name: | MRS. MAUREEN STEVENS |
NPI Number: | 1063430007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1103612 |
Business Practice Address: | 5957 9th Ave Port Arthur, TX - 776426204 |
Business Phone Number: | 4099828878 |
Business Fax Number: | 4099825119 |
Mailing Address: | 5957 9th Ave, PORT ARTHUR |
State: | TX |
Postal Code: | 776426204 |
Phone Number: | 4099828878 |
Fax Number: | 4099825119 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1103612 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |