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NPI Code Detail

MEDICARE: STEPHEN MCCALL MD

MEDICARE:   STEPHEN  MCCALL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianR4093TX

General Provider Information

NPI Number : 1578975389
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN MCCALL MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number :
Provider Business Practice Location Address
First Line : 9821 CHINA SPRING RD
Second Line :
City : WACO
State : TX
Zip : 76708-4800
Country : US
Telephone Number : 254-202-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2014
Last Update Date : 01/24/2025

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