Susan Brown Stavinoha in Austin - Medical
Susan Brown Stavinoha - NPI 1295887420
Susan Brown Stavinoha is a Medical in Austin, Texas. Susan Brown Stavinoha practices all healthcare services and medical treatments related to Medical. The NPI Number for Susan Brown Stavinoha is 1295887420. The last update date is 2012-12-13.
Susan Brown Stavinoha's current location address is 313 E 12th St, Austin, Texas. You can contact this provider via phone number 5123247000. The mailing address for Susan Brown Stavinoha is 313 E 12th St, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Brown Stavinoha |
|---|---|
| Address | 313 E 12th St, Austin, Texas |
| Phone Number | 5123247000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1295887420 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2012-12-13 |
Provider Mailing Address Detail
| Address | 313 E 12th St |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787011954 |
| Phone Number | 5123247000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01664 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 182810503 | TX | -- | |
| 819N07 | TX | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Brown Stavinoha by the Centers for Medicare & Medicaid Services?
The Susan Brown Stavinoha has been issued the NPI (National Provider Identifier) 1295887420. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan Brown Stavinoha?
The Susan Brown Stavinoha is physically situated at 313 E 12Th St, in the city of Austin, state of TX, with the postal code 787011954.
What is the Susan Brown Stavinoha's area of specialization and corresponding taxonomy classification?
The Susan Brown Stavinoha's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1295887420 to Susan Brown Stavinoha?
The Susan Brown Stavinoha received its 1295887420 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date were the details pertaining to Susan Brown Stavinoha last refreshed?
The information related to the Susan Brown Stavinoha, including its address, specialty, and other relevant details, was last updated on 2012-12-13.
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