De Jesus, Stephanie
De Jesus, Stephanie is an sole proprietor health care provider with primary practice located at 1501 N Amburn Rd Ste 9 , Texas City TX 77591-2466. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. De Jesus, Stephanie can be contacted via phone (281) 218-7200.Contact Information
Primary practice address
1501 N Amburn Rd Ste 9
Texas City TX 77591-2466
Phone: (281) 218-7200
Fax: (281) 218-7203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TEXASRULE172.20 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1724301 | New York |
Profile Details
| NPI number | 1700870193 |
|---|---|
| LBN Legal business name | De Jesus, Stephanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Oct 2nd, 2020 - about 5 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 | 1700870193 | NPPES |
| New York | MEDICAID | 01169818 | |
| New York | Other | 1144361163 | |
| New York | Other | 1144361163 |
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