Dr. Stephanie Blasick, D.O.
Pediatrics in Temple, TX. Individual provider (NPI-1).
NPI number1225326499
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1225326499
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Blasick
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2011
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | Q7015 | TX | Yes |
Practice location
1901 Sw H K Dodgen LoopTemple, TX 76502-1814
Phone 254-935-4000
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 800-994-0371
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