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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 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 |
Popular Providers
-
Luckett, Henry
700 Olympic Plaza Cir Ste 503 , Tyler TX 75701-1952 -
Khachikian, Zareh H
928 N Glenwood Blvd , Tyler TX 75702 -
Turner, Ralph James
825 Medical Dr Ste A , Tyler TX 75701-2143 -
Fanning, Paul M
1720 S Beckham Ave Ste 104 , Tyler TX 75701-4464 -
Belue, Joe B
534 S Beckham Ave , Tyler TX 75702-8310 -
Boren, Sunni S.
2017 Rickety Ln , Tyler TX 75703-1706 -
Newton, Jennifer Dale
2017 Rickety Ln , Tyler TX 75703-1706 -
Muse, James M
700 Olympic Plaza Cir Ste 602, Tyler TX 75701-1951