Pogue, Stevelynn J.
Pogue, Stevelynn J. is an individual health care provider with primary practice located at 9202 Elam Rd Southeast Dallas Health Center, Dallas TX 75217-4151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Pogue, Stevelynn J. can be contacted via phone (214) 266-1600.Contact Information
Primary practice address
9202 Elam Rd Southeast Dallas Health Center
Dallas TX 75217-4151
Phone: (214) 266-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 416332 | Texas |
Profile Details
| NPI number | 1245214808 |
|---|---|
| LBN Legal business name | Pogue, Stevelynn J. |
| Credentials | Gerontological Nurse Practitioner (GNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jul 25th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245214808 | NPPES |
| Texas | Other | 8Y0754 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907408 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907407 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907410 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907411 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907412 | BLUE CROSS BLUE SHIELD |
| Texas | Other | 500029400 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907403 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907401 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907402 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907404 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907405 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 138907406 | BLUE CROSS BLUE SHIELD |
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