Provider Demographics
NPI:1164743621
Name:STEPHENS, LINDSAY PAGE (DO)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:PAGE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 BLUFF FRST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2633
Mailing Address - Country:US
Mailing Address - Phone:210-363-3311
Mailing Address - Fax:
Practice Address - Street 1:16403 HUEBNER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1683
Practice Address - Country:US
Practice Address - Phone:210-493-4959
Practice Address - Fax:210-493-4355
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4385207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine