Stephanie Brooke Ressler in Nacogdoches - Pediatrics
Stephanie Brooke Ressler - NPI 1902805401
Stephanie Brooke Ressler is a Pediatrics in Nacogdoches, Texas. Stephanie Brooke Ressler practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephanie Brooke Ressler is 1902805401. The last update date is 2018-01-05.
Stephanie Brooke Ressler's current location address is 4635 Ne Stallings Dr Ste 101, Nacogdoches, Texas. You can contact this provider via phone number 9366220098 and fax number 8885522070. The mailing address for Stephanie Brooke Ressler is 4635 Ne Stallings Dr Ste 101, Nacogdoches, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Brooke Ressler |
|---|---|
| Address | 4635 Ne Stallings Dr Ste 101, Nacogdoches, Texas |
| Phone Number | 9366220098 |
| Fax Number | 8885522070 |
| Sole Proprietor | N |
| Credentials | MPT, PCS |
NPI Number Detail
| NPI Number | 1902805401 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2018-01-05 |
Provider Mailing Address Detail
| Address | 4635 Ne Stallings Dr Ste 101 |
|---|---|
| City | Nacogdoches |
| State | Texas (TX) |
| Post Code | 759651667 |
| Phone Number | 9366220098 |
| Fax Number | 8885522070 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1150013 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 169552002 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie Brooke Ressler by the Centers for Medicare & Medicaid Services?
The Stephanie Brooke Ressler has been assigned the NPI (National Provider Identifier) 1902805401. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stephanie Brooke Ressler is located?
The Stephanie Brooke Ressler is situated at the following address: 4635 Ne Stallings Dr Ste 101, Nacogdoches, TX, 759651667.
What is the Stephanie Brooke Ressler's area of specialization and corresponding taxonomy classification?
The Stephanie Brooke Ressler's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
On what date did Stephanie Brooke Ressler receive its 1902805401 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie Brooke Ressler was assigned its 1902805401 on 2005-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stephanie Brooke Ressler most recently updated or revised?
The information pertaining to Stephanie Brooke Ressler, including its address, specialty, and other relevant details, was last updated or revised on 2018-01-05.