1528248564 NPI number — STACY R STEPHENS MD RALPH J TURNER MD AND ASSOCIATES

Table of content: (NPI 1528248564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528248564 NPI number — STACY R STEPHENS MD RALPH J TURNER MD AND ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STACY R STEPHENS MD RALPH J TURNER MD AND ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528248564
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6200 WEST PARKER ROAD
Provider Second Line Business Mailing Address:
SUITE 502
Provider Business Mailing Address City Name:
PLANO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-312-1309
Provider Business Mailing Address Fax Number:
972-312-1662

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6200 WEST PARKER ROAD
Provider Second Line Business Practice Location Address:
SUITE 502
Provider Business Practice Location Address City Name:
PLANO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-312-1309
Provider Business Practice Location Address Fax Number:
972-312-1662
Provider Enumeration Date:
11/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STEPHENS
Authorized Official First Name:
STACY
Authorized Official Middle Name:
RANDOLPH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
972-312-1309

Provider Taxonomy Codes

  • Taxonomy code: 207VG0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 824472 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1013950997 . This is a "NPPES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 824474 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1114944766 . This is a "NPPES" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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