Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip John Stephan, MD

Individual provider Surgery Physician · NPI 1053387399

Phillip John Stephan, MD is a Plastic and Reconstructive Surgery in Wichita Falls, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
28
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2200 Kell Blvd
Wichita Falls, TX 76309-4401
Phone: (940) 264-2600
Fax: (940) 264-2601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence L2679 (TX)
Surgery Physician Taxonomy 208600000X · Licence L2679 (TX)

Record details

NPI number1053387399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESMarch 6, 2014
Mailing addressPo Box 1011, Wichita Falls, TX 76307-1011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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