Stowe, Phyllis K.

Stowe, Phyllis K. is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stowe, Phyllis K. can be contacted via phone (254) 202-5800.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Waco TX 76712-8897
Phone: (254) 202-5800
Fax: (254) 202-5849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 250330 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP103973 Texas

Profile Details

NPI number 1578535415
LBN Legal business name Stowe, Phyllis K.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2006
Last updated Nov 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578535415 NPPES
Texas MEDICAID 126122409
Texas Other 84062U

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