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Home > TX Providers > Vascular Surgeons

Dr. Edic Stephanian, MD

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Specializes in: Vascular Surgery

University of Southern California (USC), Keck School of Medicine

Professional interests include: vascular injury, peripheral angioplasty, carotid artery disease, and more.

601 Clara Barton Boulevard Suite 350
Garland, TX 75042

(972) 426-9900

Dr. Edic Stephanian, MD is a vascular surgeon in Garland, TX specializing in vascular surgery. He graduated from University of Southern California (USC), Keck School of Medicine. Dr. Edic Stephanian, MD is affiliated with Texas Health Resources, Medical City Healthcare, Methodist Health System, SURGERY ASSOCIATES OF NTX PLLC, VASCULAR CARE OF TEXAS PLLC, Medical City Plano Medical City Dallas Hospital Medical City Heart Hospital and Vascular Care of Texas.

Office Locations

Methodist Health System

601 Clara Barton Boulevard Suite 350
Garland, TX 75042

(972) 426-9900

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Some issues Dr. Edic Stephanian, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Noteworthy Medicare Patient Procedures Performed by Dr. Edic Stephanian, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Volume:

hemodialysis access duplex ultrasound

vascular procedures

vascular ultrasound

In 2023, Dr. Edic Stephanian, MD performed more hemodialysis access duplex ultrasound, vascular procedures, and vascular ultrasound procedures for Medicare patients than 95% of providers in related specialties within Texas.

Top 10%

By Volume:

lower extremity arterial duplex

lower extremity venous duplex

In 2023, Dr. Edic Stephanian, MD performed more lower extremity arterial duplex, and lower extremity venous duplex procedures for Medicare patients than 90% of providers in related specialties within Texas.

Top 25%

By Volume:

ankle brachial index

carotid duplex ultrasound

In 2012, Dr. Edic Stephanian, MD performed more ankle brachial index (ABI), and carotid duplex ultrasound procedures for Medicare patients than 75% of providers in related specialties within Texas.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2012 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	157
ablation	337
anastomosis	23
angioplasty	43
catheterization	42
device removal	26
dialysis access procedures	167
doctor visit	1104
hospital care	304
injections	133
inpatient care	291
laser treatment	77
minimally invasive procedures	365
outpatient care	13
pelvic imaging	157
ultrasound (sonogram)	2061
vascular procedures	3039
X-rays	54

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2013 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	156
ablation	670
anastomosis	44
angioplasty	49
blood draw	16
catheterization	23
device removal	20
dialysis access procedures	182
doctor visit	1373
endarterectomy	23
hospital care	245
injections	230
inpatient care	245
laser treatment	134
minimally invasive procedures	778
neck surgery	23
pelvic imaging	156
stent placement (stenting)	60
ultrasound (sonogram)	2156
vascular procedures	3654
X-rays	62

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	723
Female	926

**Ethnicity**
Non-Hispanic White	1253
Black	173
Hispanic	139
Asian	65
Other	0
Native American	0

**Age**
From 65 to 74	616
From 75 to 84	557
85 and over	237
Less than 65	239

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2013

Hypertension	75
High Cholesterol	70
Stroke	15
Ischemic Heart Disease	52
Depression	30
Chronic Kidney Disease	43
Asthma	9
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	34
Chronic Obstructive Pulmonary Disease	26
Diabetes	43
Dementia	22
Cancer	13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2014 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	151
ablation	485
anastomosis	49
angioplasty	95
catheterization	23
dialysis access procedures	181
doctor visit	634
endarterectomy	13
hospital care	213
injections	195
inpatient care	201
laser treatment	25
minimally invasive procedures	672
neck surgery	13
outpatient care	12
pelvic imaging	151
stent placement (stenting)	94
ultrasound (sonogram)	2071
vascular procedures	3660
X-rays	80

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	769
Female	914

**Ethnicity**
Non-Hispanic White	1265
Black	179
Hispanic	148
Asian	79
Other	0
Native American	0

**Age**
From 65 to 74	653
From 75 to 84	534
85 and over	241
Less than 65	255

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2014

Hypertension	75
High Cholesterol	72
Stroke	14
Ischemic Heart Disease	52
Depression	31
Chronic Kidney Disease	44
Asthma	11
Osteoperosis	12
Atrial Fibrilation	18
Heart Failure	34
Chronic Obstructive Pulmonary Disease	26
Diabetes	46
Dementia	21
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2015 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	129
ablation	254
anastomosis	45
angioplasty	131
catheterization	14
dialysis access procedures	217
doctor visit	637
hospital care	140
injections	114
inpatient care	140
laser treatment	18
minimally invasive procedures	413
pelvic imaging	129
stent placement (stenting)	66
ultrasound (sonogram)	1668
vascular procedures	2929
X-rays	91

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	1322
Female	1724

**Ethnicity**
Non-Hispanic White	2254
Black	372
Hispanic	256
Asian	128
Other	0
Native American	0

**Age**
From 65 to 74	1128
From 75 to 84	1024
85 and over	428
Less than 65	466

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2015

Hypertension	75
High Cholesterol	74
Stroke	16
Ischemic Heart Disease	51
Depression	33
Chronic Kidney Disease	50
Asthma	18
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	33
Chronic Obstructive Pulmonary Disease	25
Diabetes	48
Dementia	22
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2016 were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	127
ablation	278
anastomosis	42
angioplasty	106
catheterization	16
device removal	13
dialysis access procedures	213
doctor visit	1155
endarterectomy	11
hospital care	151
injections	172
inpatient care	151
minimally invasive procedures	419
neck surgery	11
pelvic imaging	127
stent placement (stenting)	59
ultrasound (sonogram)	1326
vascular procedures	2611
X-rays	103

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	612
Female	694

**Ethnicity**
Non-Hispanic White	968
Black	151
Hispanic	122
Asian	51
Other	0
Native American	0

**Age**
From 65 to 74	485
From 75 to 84	441
85 and over	164
Less than 65	216

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2016

Hypertension	75
High Cholesterol	74
Stroke	14
Ischemic Heart Disease	50
Depression	29
Chronic Kidney Disease	56
Asthma	28
Osteoperosis	11
Atrial Fibrilation	16
Heart Failure	32
Chronic Obstructive Pulmonary Disease	26
Diabetes	47
Dementia	20
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2017 were vascular procedures, ultrasound (sonogram), inpatient care and hospital care.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	129
ablation	179
anastomosis	60
catheterization	27
compression therapy	54
device removal	34
dialysis access procedures	182
doctor visit	2008
hospital care	205
immobilization	54
injections	143
inpatient care	205
minimally invasive procedures	179
pelvic imaging	129
ultrasound (sonogram)	1516
vascular procedures	2322

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	712
Female	803

**Ethnicity**
Non-Hispanic White	1120
Black	172
Hispanic	151
Asian	55
Other	0
Native American	0

**Age**
From 65 to 74	570
From 75 to 84	514
85 and over	218
Less than 65	213

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2017

Hypertension	75
High Cholesterol	64
Stroke	12
Ischemic Heart Disease	50
Depression	30
Chronic Kidney Disease	57
Asthma	8
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	33
Chronic Obstructive Pulmonary Disease	24
Diabetes	47
Dementia	20
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2018 were vascular procedures, ultrasound (sonogram), inpatient care and hospital care.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	131
ablation	102
anastomosis	66
compression therapy	33
device removal	56
dialysis access procedures	203
doctor visit	1734
hospital care	206
immobilization	33
injections	70
inpatient care	206
minimally invasive procedures	132
pelvic imaging	131
stent placement (stenting)	15
ultrasound (sonogram)	1130
vascular procedures	1809

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	548
Female	595

**Ethnicity**
Non-Hispanic White	846
Black	122
Hispanic	119
Asian	39
Other	0
Native American	0

**Age**
From 65 to 74	453
From 75 to 84	382
85 and over	144
Less than 65	164

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2018

Hypertension	75
High Cholesterol	74
Stroke	10
Ischemic Heart Disease	51
Depression	29
Chronic Kidney Disease	60
Asthma	7
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	35
Chronic Obstructive Pulmonary Disease	20
Diabetes	47
Dementia	19
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2019 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	113
ablation	69
device removal	36
dialysis access procedures	191
doctor visit	1668
hospital care	93
injections	69
inpatient care	93
minimally invasive procedures	98
pelvic imaging	113
stent placement (stenting)	13
ultrasound (sonogram)	1212
vascular procedures	1786

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	521
Female	569

**Ethnicity**
Non-Hispanic White	810
Black	111
Hispanic	111
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	423
From 75 to 84	396
85 and over	121
Less than 65	150

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	50
Depression	29
Chronic Kidney Disease	59
Asthma	8
Osteoperosis	10
Atrial Fibrilation	17
Heart Failure	35
Chronic Obstructive Pulmonary Disease	23
Diabetes	47
Dementia	15
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2020 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	77
ablation	41
anastomosis	11
device removal	39
dialysis access procedures	191
doctor visit	1502
injections	41
minimally invasive procedures	41
pelvic imaging	77
ultrasound (sonogram)	1063
vascular procedures	1519

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	462
Female	453

**Ethnicity**
Non-Hispanic White	667
Black	100
Hispanic	92
Asian	44
Other	0
Native American	0

**Age**
From 65 to 74	355
From 75 to 84	306
85 and over	123
Less than 65	131

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	49
Depression	27
Chronic Kidney Disease	60
Asthma	7
Osteoperosis	9
Atrial Fibrilation	17
Heart Failure	34
Chronic Obstructive Pulmonary Disease	21
Diabetes	47
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2021 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	68
ablation	31
device removal	38
dialysis access procedures	162
doctor visit	1319
injections	31
minimally invasive procedures	31
pelvic imaging	68
ultrasound (sonogram)	976
vascular procedures	1246

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	400
Female	458

**Ethnicity**
Non-Hispanic White	635
Black	90
Hispanic	80
Asian	39
Other	0
Native American	0

**Age**
From 65 to 74	342
From 75 to 84	311
85 and over	105
Less than 65	100

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	48
Depression	29
Chronic Kidney Disease	56
Asthma	9
Osteoperosis	12
Atrial Fibrilation	15
Heart Failure	32
Chronic Obstructive Pulmonary Disease	22
Diabetes	44
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX during 2022 were vascular procedures, ultrasound (sonogram), dialysis access procedures and pelvic imaging.

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

abdominal imaging	59
ablation	52
device removal	18
dialysis access procedures	131
doctor visit	1053
injections	52
minimally invasive procedures	52
pelvic imaging	59
ultrasound (sonogram)	811
vascular procedures	1039

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	332
Female	381

**Ethnicity**
Non-Hispanic White	553
Black	57
Hispanic	58
Asian	33
Other	0
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	292
85 and over	104
Less than 65	65

Conditions of Medicare patients treated by Dr. Edic Stephanian, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	50
Asthma	11
Osteoperosis	17
Atrial Fibrilation	25
Heart Failure	30
Chronic Obstructive Pulmonary Disease	25
Diabetes	43
Dementia	9
Cancer	18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Edic Stephanian, MD for Medicare patients.

The highest averages for the top procedures that Dr. Edic Stephanian, MD treated as a vascular surgeon in Garland, TX were vascular procedures, ultrasound (sonogram), minimally invasive procedures and ablation.

abdominal imaging	117
ablation	227
anastomosis	42
angioplasty	84
blood draw	16
catheterization	24
compression therapy	43
device removal	31
dialysis access procedures	183
doctor visit	1289
endarterectomy	15
hospital care	194
immobilization	43
injections	113
inpatient care	191
laser treatment	63
minimally invasive procedures	289
neck surgery	15
outpatient care	12
pelvic imaging	117
stent placement (stenting)	51
ultrasound (sonogram)	1453
vascular procedures	2328
X-rays	78

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Edic Stephanian, MD.

**Gender**
Male	581
Female	683

**Ethnicity**
Black / African American	138
Asian / Pacific Islander	52
Non-Hispanic White	942
Hispanic	116
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	432
85 and over	171
Less than 65	181
65 to 74	479

Average of Total of Conditions of Medicare patients treated by Dr. Edic Stephanian, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Edic Stephanian, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	68
High Cholesterol	66
Stroke	11
Ischemic Heart Disease	44
Depression	26
Chronic Kidney Disease	48
Asthma	10
Osteoporosis	10
Heart Failure	30
Chronic Obstructive Pulmonary Disease	21
Diabetes	41
Atrial Fibrillation	16
Cancer	11
Dementia	16

Education & Training

Dr. Edic Stephanian, MD graduated from University of Southern California (USC), Keck School of Medicine. He completed residency at University of Minnesota Affiliated Hospitals. He has a state license in Texas.

Medical School: University of Southern California (USC), Keck School of Medicine

Residency: University of Minnesota Affiliated Hospitals

Licensed In: Texas

Affiliations & Hospitals

Dr. Edic Stephanian, MD is associated with these hospitals and organizations:

Texas Health Resources

Medical City Healthcare

Methodist Health System

SURGERY ASSOCIATES OF NTX PLLC

VASCULAR CARE OF TEXAS PLLC

Medical City Plano Medical City Dallas Hospital Medical City Heart Hospital

Vascular Care of Texas

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General Payments

These charts describe general payments received by Dr. Edic Stephanian, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
W. L. Gore & Associates, Inc.	$3,094 EXCLUDER AAA Endoprosthesis $1,294	C3 Delivery System $377	PROPATEN Vascular Graft $286	VIABAHN Endoprosthesis with Heparin Bioactive Surface $280	EXCLUDER Iliac Branch Endoprosthesis $184	Other $673
Penumbra, Inc.	$1,968 Penumbra Ruby Coil $1,683	Penumbra System $162	Indigo $123
Cardiovascular Systems Inc.	$1,787 Atherectomy Device $1,046	Peripheral Orbital Atherectomy System $536	Coronary Orbital Atherectomy System $193	$13
Abbott Laboratories	$1,380 Absolute Pro vascular stent system $408	Perclose ProGlide suture mediated closure system $315	Supera peripheral stent system $231	Proclaim Family of SCS IPGs $154	JETi Peripheral Catheter $118	Other $154
Medtronic Vascular, Inc.	$781 Aortic Stent Grafts $360	Endurant $253	CVI $115	VenaSeal $21	HawkOne $16	Other $16
Other	$4,924 ELIQUIS $629	XARELTO $464	AFX $331	ENROUTE 0.014 Guidewire $321	TURBOELITE $298	Other $2,880

**Types of Payments**
Food and Beverage	$11,116
Travel and Lodging	$1,485
Compensation for serving as faculty or as a speaker for an accredited or certified continuing education program	$1,250
Education	$82

Biography

Dr. Edic Stephanian practices vascular surgery in Garland, TX. Areas of expertise for Dr. Stephanian include inferior vena cava (IVC) filter placement, stent placement (stenting), and ankle brachial index (ABI). Before performing his residency at a hospital affiliated with the University of Minnesota, Dr. Stephanian attended the University of Southern California (USC), Keck School of Medicine. He has received professional recognition including the following: Texas Super Doctors. His hospital/clinic affiliations include Texas Health Allen, Methodist Health System, and Medical City Healthcare.