Active NPIIndividual provider

Stephanie M Prado, MD

Preventive Medicine, Undersea and Hyperbaric Medicine in Jourdanton, Texas

NPI Number1649344391
Practice location
1907 Highway 97 E, Suite 130, Jourdanton, TX 78026-1537
Fax
904-446-3013
Last updated
December 1, 2021

Stephanie Marie Prado is a Preventive Medicine, Undersea and Hyperbaric Medicine based in Jourdanton, TX. Stephanie Marie Prado practices in Jourdanton, TX and has the professional credentials of MD. The NPI Number for Stephanie Marie Prado is 1649344391 and holds a License No. K9153 (TX). The current practice location address for Stephanie Marie Prado is 1907 Highway 97 E, Suite 130, Jourdanton, TX 78026-1537 and can be reached out via phone at 830-769-5919 and via fax at 904-446-3013.

Provider Profile Details

NPI Number
1649344391
Provider Name
Stephanie Marie Prado
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1907 Highway 97 E, Suite 130, Jourdanton, TX 78026-1537
Phone Number
830-769-5919
Fax Number
904-446-3013
Sole Proprietor
No
Provider Enumeration Date
November 17, 2006
Last Update Date
December 1, 2021
Certification Date
December 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1907 Highway 97 E
Suite 130
Jourdanton, TX 78026-1537
State
Texas
Zip
78026-1537
Phone Number
830-769-5919
Fax Number
904-446-3013
Jourdanton, TX 78026Get directions →

Provider Business Mailing Address Details

Address
Po Box 848510
Boston, MA 02284-8510
City
Boston
State
MA
Zip
02284-8510
Phone Number
904-446-3451
Fax Number
904-446-3013

License Information

License Number (1)
K9153
License State (1)
TX
Taxonomy (1)
Specialist · 174400000X
License Number (2)
K9153
License State (2)
TX
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X
License Number (3)
K9153
License State (3)
TX
Taxonomy (3)
Preventive Medicine, Undersea and Hyperbaric Medicine · 2083P0011X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephanie M Prado, MD?

The NPI number of Stephanie M Prado, MD is 1649344391. It was assigned on November 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Stephanie M Prado, MD?

Stephanie M Prado, MD is registered under the primary taxonomy Preventive Medicine, Undersea and Hyperbaric Medicine (code 2083P0011X), licensed in TX under license number K9153.

Where does Stephanie M Prado, MD practice?

The practice location is 1907 Highway 97 E, Suite 130, Jourdanton, TX 78026-1537. The office can be reached at 830-769-5919 (phone) or 904-446-3013 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649344391 directly on the NPPES registry website.

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