Doctor Name: | DR. ELENA VALERIE STEPHENS |
NPI Number: | 1114984903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | L7197 |
Business Practice Address: | 100 West Dean Keeton St Austin, TX - 787127339 |
Business Phone Number: | 5124758327 |
Business Fax Number: | 5123237550 |
Mailing Address: | 100 West Dean Keeton St, AUSTIN |
State: | TX |
Postal Code: | 787127339 |
Phone Number: | 5124758327 |
Fax Number: | 5123237550 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | L7197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |