Individual
CONNIE STERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4419 FRONTIER TRL, SUITE 110, AUSTIN, TX 78745-1686
(512) 444-7208
(512) 444-2343
Mailing address
4419 FRONTIER TRL, SUITE 110, AUSTIN, TX 78745-1686
(512) 444-7208
(512) 444-2343
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
PA02177
TX
363AM0700X
Medical Physician Assistant
Primary
PA02177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970013464
MEDICARE RAILROAD
TX
Enumeration date
02/20/2006
Last updated
04/25/2019
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