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Susan Brown Stavinoha, PA
Medical Physician Assistant in Austin, Texas
NPI 1295887420

Susan Brown Stavinoha is a Medical Physician Assistant based in Austin, TX and is specialized in Medical. Susan Brown Stavinoha practices in Austin, TX and has the professional credentials of PA. The NPI Number for Susan Brown Stavinoha is 1295887420 and holds a License No. PA01664 (Texas).

The current practice location address for Susan Brown Stavinoha is 313 E 12Th St, Austin, TX and can be reached out via phone at 512-324-7000.

Location: 313 E 12Th St, Austin, TX, 78701-1954
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Provider Profile Details
NPI Number
1295887420
Provider Name
Susan Brown Stavinoha
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
313 E 12Th St, Austin, TX, 78701-1954
Phone Number
512-324-7000
Fax Number
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
182810503 05 TX
819N07 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
313 E 12Th St
City
State
Zip
78701-1954
Phone Number
512-324-7000
Fax Number
person
Provider Business Mailing Address Details
Address
313 E 12Th St
City
State
Zip
78701-1954
Phone Number
512-324-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01664 (Texas)
Definition
Definition to come...
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