STEVENS PARK CLINIC MEDICAL GROUP
NPI 1326240839
Family Medicine in Dallas, TX

Q: What is Stevens Park Clinic Medical Group's NPI number?

The NPI number for Stevens Park Clinic Medical Group is 1326240839. It was assigned to this organization in the NPPES registry on June 5, 2007.

Q: What is Stevens Park Clinic Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 05, 2007CLIA 45D0479352 · Waiver

2100 W COLORADO BLVD, DALLAS, TX 75211(214) 943-4631(214) 946-5334 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stevens Park Clinic Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEVENS PARK CLINIC MEDICAL GROUP (NPI 1326240839) is a healthcare organization registered as a family medicine in Dallas, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Kevin M Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1326240839

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSTEVENS PARK CLINIC MEDICAL GROUP

Location Address2100 W COLORADO BLVDDallas, TX 75211-1900

Mailing Address2100 W Colorado BlvdDallas, TX 75211-1900 · (214) 943-4631 · Fax (214) 946-5334

Phone(214) 943-4631

Fax(214) 946-5334

Organization SubpartNo

Authorized OfficialKevin M BryantOwner · (214) 943-4631

Enumeration DateJune 5, 2007

Last NPPES UpdateMarch 2, 2015

✔ NPI 1326240839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K2425

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2100 W COLORADO BLVD, Dallas, TX 75211

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Other Identifiers 3

Medicare UPING44258TX

Other00500RTX · Medicare Ptan

Medicaid144698103TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0479352

Stevens Park Clinic · Dallas, TX

Active · expires Jul 5, 2028

CLIA Number45D0479352

Laboratory TypeCommunity Clinic

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorKevin T. Bryant

Laboratory Phone(214) 943-4631

Laboratory LocationStevens Park Clinic2100 W Colorado Blvd, Dallas, TX 75211

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL GABLE PA-C

Physician Assistant (Medical)