Jack B Stephenson Iv (NPI# 1972624542, PAC ID# 5193943611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1972624542 |
| PAC ID by PECOS | 5193943611 |
| Professional Enrollment ID | I20140826000332 |
| Full Name | Jack B Stephenson Iv |
| Organization Legal Name | PLASTIC AND HAND SURGEONS OF KATY PLLC |
| Address |
23960 Katy Fwy Suite 380 Katy TX 77494-0893 |
| Phone Number | 8322324263 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 3678872769 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450847 | MEMORIAL HERMANN KATY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 23960 Katy Fwy, Suite 380, Katy, TX 77494-0893 | 8322324263 | PLASTIC AND HAND SURGEONS OF KATY PLLC |
| 23960 Katy Fwy, Suite 380, Katy, TX 77494-0893 | RECONSTRUCTIVE SURGEONS OF KATY PLLC |
| Organization Legal Name | PLASTIC AND HAND SURGEONS OF KATY PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dipan Das | Plastic and Reconstructive Surgery | Plastic and Hand Surgeons of Katy Pllc | 23960 Katy Fwy, Suite 380, Katy, TX 77494-0893 |
| Street Address |
23960 KATY FWY SUITE 380 |
| City | KATY |
| State | TX |
| Zip | 77494-0893 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shamim Ali | Family Medicine | 23960 Katy Fwy, Suite 320, Katy, TX 77494-0887 | |
| Benedict O Ifedi | Family Medicine | Memorial Hermann Medical Group | 23960 Katy Fwy, Suite 400, Katy, TX 77494-0893 |
| Jacob R Worsham | Orthopedic Surgery | Ut Physicians | 23960 Katy Fwy, Suite 160, Katy, TX 77494-0891 |
| Sammy E Khoury | General Surgery | 23960 Katy Fwy, Suite 130, Katy, TX 77494-0892 | |
| Dipan Das | Plastic and Reconstructive Surgery | Plastic and Hand Surgeons of Katy Pllc | 23960 Katy Fwy, Suite 380, Katy, TX 77494-0893 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adalberto Torres | Hospitalist | 23553 W Fernhurst Dr, Grace Care Center of Katy, Katy, TX 77494-0686 | |
| Ashley D Miller | Nurse Practitioner | Collaborative Geriatrics Inc | 23553 W Fernhurst Dr, Katy, TX 77494-0686 |
| Dhvani Hariprasad Patel | Optometry | 23108 Seven Meadows Pkwy, 250 I Care Center, Katy, TX 77494-0864 | |
| Kiran Farheen | Rheumatology | 23920 Katy Fwy, Suite 240, Katy, TX 77494-0881 | |
| Steven I Abramson | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 23920 Katy Fwy, Suite 200, Katy, TX 77494-0881 |
| Tara J Rizvi | Rheumatology | 23920 Katy Fwy, Suite 240, Katy, TX 77494-0881 | |
| Nancy A Magsino | Obstetrics/gynecology | 23920 Katy Fwy, Suite 300, Katy, TX 77494-0881 | |
| William C Mcgarvey | Orthopedic Surgery | Ut Physicians | 23920 Katy Fwy, Suite 200, Katy, TX 77494-0881 |
| Charleen J Alviano | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 23920 Katy Fwy, Suite 200, Katy, TX 77494-0881 |
| Joseph B Johns | Obstetrics/gynecology | 23920 Katy Fwy, Suite 510, Katy, TX 77494-0882 | |
| Find all physicians in zip 77494 | |||
| City | KATY |
| Zip Code | 77494 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | KATY + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Jack B Stephenson Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.