Stovall, Mady Carol

Stovall, Mady Carol is an individual health care provider with primary practice located at 7810 Louis Pasteur Dr Fl 1 , San Antonio TX 78229-3471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stovall, Mady Carol can be contacted via phone (210) 450-7222.

Contact Information

Primary practice address
7810 Louis Pasteur Dr Fl 1 San Antonio TX 78229-3471
Phone: (210) 450-7222
Fax: (210) 450-2104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP126749 Texas

Profile Details

NPI number 1699787697
LBN Legal business name Stovall, Mady Carol
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 1st, 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 1699787697 NPPES
California MEDICAID 00NP151810

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