Ferris, Stephanie Holman
Ferris, Stephanie Holman is an individual health care provider with primary practice located at 529 N Galloway Ave Suite 16, Mesquite TX 75149-3420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ferris, Stephanie Holman can be contacted via phone (972) 216-4411.Contact Information
Primary practice address
529 N Galloway Ave Suite 16
Mesquite TX 75149-3420
Phone: (972) 216-4411
Fax: (972) 216-7346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | J5788 | Texas |
Profile Details
| NPI number | 1568452035 |
|---|---|
| LBN Legal business name | Ferris, Stephanie Holman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 10th, 2008 - about 17 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 | 1568452035 | NPPES |
| Texas | Other | 8B8506 | BC BS TEXAS |
| Texas | MEDICAID | 173824701 | BC BS TEXAS |
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