Casella, Stephanie

Casella, Stephanie is an individual health care provider with primary practice located at 9835 N Lake Creek Pkwy , Austin TX 78717-6210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Casella, Stephanie can be contacted via phone (737) 229-3502.

Contact Information

Primary practice address
9835 N Lake Creek Pkwy Austin TX 78717-6210
Fax: (737) 229-3532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X U9864 Texas

Profile Details

NPI number 1518462639
LBN Legal business name Casella, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated May 25th, 2024 - about last year

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 1518462639 NPPES
Florida MEDICAID 113954700

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