Punnam Stephan, NP

NURSE PRACTITIONER

3600 Gaston Ave

Suite 656

Dallas, TX 752461906

(214) 820-3466

**NPI:** 1104245984

**Med School:** OTHER

**Experience:** 13 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (2)

HEALTHTEXAS PROVIDER NETWORK

3600 Gaston Ave, Suite 656
Dallas, TX 752461906

Phone: (214) 820-3466

**Group ID:** 1355254210 | **Group Size:** 2048 members

LEGACY HEALTHCARE SERVICES INC

800 College Pkwy
Lewisville, TX 750773503

Phone: (972) 420-8543

**Group ID:** 2163339722 | **Group Size:** 3474 members

BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE Type: Hospital
6800 SCENIC DR
Phone: (972) 412-2273
Medicare CCN: 450742 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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