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Stacey Baskerville
Intermediate Emergency Medical Technician in Sweeny, Texas
NPI 1417099565

Stacey Baskerville is a Intermediate Emergency Medical Technician based in Sweeny, TX. Stacey Baskerville practices in Sweeny, TX. The NPI Number for Stacey Baskerville is 1417099565 and holds a License No. 139905 (Texas).

The current practice location address for Stacey Baskerville is 300 Silverleaf Rd Apt 1201, Sweeny, TX and can be reached out via phone at 979-482-4637.

Location: 300 Silverleaf Rd Apt 1201, Sweeny, TX, 77480-1839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417099565
Provider Name
Stacey Baskerville
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Silverleaf Rd Apt 1201, Sweeny, TX, 77480-1839
Phone Number
979-482-4637
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1824609 05 TX
institution
Provider Business Practice Location Address Details
Address
300 Silverleaf Rd Apt 1201
City
Sweeny
State
Texas
Zip
77480-1839
Phone Number
979-482-4637
Fax Number
person
Provider Business Mailing Address Details
Address
300 Silverleaf Rd Apt 1201
City
Sweeny
State
Texas
Zip
77480-1839
Phone Number
979-482-4637
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
139905 (Texas)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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