Prado, Stephanie Marie

Prado, Stephanie Marie is an individual health care provider with primary practice located at 1907 Highway 97 E Suite 130, Jourdanton TX 78026-1537. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Prado, Stephanie Marie can be contacted via phone (830) 769-5919.

Contact Information

Primary practice address
1907 Highway 97 E Suite 130 Jourdanton TX 78026-1537
Phone: (830) 769-5919
Fax: (904) 446-3013
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K9153 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X K9153 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X K9153 Texas

Profile Details

NPI number 1649344391
LBN Legal business name Prado, Stephanie Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 1st, 2021 - 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 1649344391 NPPES
Texas Other 010915507 TAX ID

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