Carl, Stephanie H

Carl, Stephanie H is an individual health care provider with primary practice located at 1720 S Beckham Ave Ste 104 , Tyler TX 75701-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carl, Stephanie H can be contacted via phone (903) 597-2002.

Contact Information

Primary practice address
1720 S Beckham Ave Ste 104 Tyler TX 75701-4464
Phone: (903) 597-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K4646 Texas

Profile Details

NPI number 1710950530
LBN Legal business name Carl, Stephanie H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710950530 NPPES
Texas Other TIN PLUS 022 TRICARE CHAMPUS
Texas MEDICAID 039150001 TRICARE CHAMPUS
Texas MEDICAID 039150003 TRICARE CHAMPUS
Texas Other 8178K0 TRICARE CHAMPUS
Texas Other 7781106 TRICARE CHAMPUS
Texas Other 75-2616977-136 TRICARE CHAMPUS
Texas MEDICAID 039150002 TRICARE CHAMPUS
Texas Other 123497 TRICARE CHAMPUS

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