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NPI Code Detail

MEDICARE: DR. STEPHEN THAI

MEDICARE:  DR. STEPHEN  THAI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1902746381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN THAI
Provider Business Mailing Address
First Line : TEMPLE 2401 SOUTH
Second Line :
City : TEMPLE
State : TX
Zip : 76508-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 S 31ST ST
Second Line :
City : TEMPLE
State : TX
Zip : 76508-0001
Country : US
Telephone Number : 254-724-6317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ DR. STEPHEN THAI ” Practice Location

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