Tacquard, Stephanie Louise
Tacquard, Stephanie Louise is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite 200, Austin TX 78723-3077. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Tacquard, Stephanie Louise can be contacted via phone (512) 628-1830.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Suite 200
Austin TX 78723-3077
Phone: (512) 628-1830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | N6703 | Texas |
Profile Details
| NPI number | 1669721916 |
|---|---|
| LBN Legal business name | Tacquard, Stephanie Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2012 |
| Last updated | Dec 9th, 2014 - about 10 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 | 1669721916 | NPPES |
| Texas | MEDICAID | 332004601 | |
| Texas | MEDICAID | 332004602 |
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