MICHEL STEPHAN MD PA
Radiology at Galloway Ave, Mesquite, TX

License number
Texas F8687
Category
Radiology
Type
Surgery
Owner
Name: MICHEL KHAMIS STEPHAN M D
Title: PRESIDENT
Phone: (972) 226-0405
Address
Address
2540 N Galloway Ave #101, Mesquite, TX 75150
National Provider ID: 1619946324
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHEL STEPHAN, M.D., PA

2540 N Galloway Ave STE 101, Mesquite, TX 75150

Doing business as:
Michel Stephan, M.D., PA<br>Texas Surgery Associates<br>Michel Stephan MD
Registration:
Apr 5, 1982
Phone:
(972) 226-0405 (Phone)
State ID:
0080831203
Business type:
Professional Association
President , Director , Member:
Michel Stephan (President , Director , Member)
Agent:
Michel K. Stephan,2540 N Galloway Ave STE 101, Mesquite, TX 75150 (Physical)
TIN:
32036042227

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