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General NPI Number Information
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NPI Number | 1912867094
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Entity Type | Organization
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Legal Business Name | BAYLOR SCOTT & WHITE HEALTHCARE HTPN
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | BAYLOR SCOTT & WHITE HEALTHCARE 740 N US 377
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City | ROANOKE
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State | TX
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Zip | 76262
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Country | US
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Telephone | 817-912-9740
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Fax |
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Provider Business Mailing Address
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Address Line | BAYLOR SCOTT & WHITE 740 N US HIGHWAY 377
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City | ROANOKE
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State | TX
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Zip | 76262
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Country | US
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Telephone | 817-912-9740
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRENT EDWARD STEVENSON
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Credential |
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Telephone | 817-912-9740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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