IndividualActive
Charles Stephenson, P.A.
NPI 1003984634 · Physician Assistant · Cisco, TX
Provider details
- NPI number
- 1003984634
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA00390 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1619 Highway 206
Cisco, TX 76437-6447
Phone: (254) 442-1441
Fax: (254) 442-1466
Approximate (ZIP-level) locationGet directions
Mailing address
1619 Highway 206
Cisco, TX 76437-6447
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.