Doctor Name: | STEPHEN STIMSON |
NPI Number: | 1699814616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 74-2600261 |
Business Practice Address: | 601 W Hwy 6 Ste 105 Waco, TX - 767105592 |
Business Phone Number: | 2547416113 |
Business Fax Number: | |
Mailing Address: | 27 Timber Ridge Trl, LORENA |
State: | TX |
Postal Code: | 766553035 |
Phone Number: | 2546525250 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 74-2600261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |