Individual
STACIE RENEE HABBIT X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3508 FAR WEST BLVD STE 130, AUSTIN, TX 78731-3081
(513) 828-3990
(512) 795-9847
Mailing address
1360 DOUBLE CREEK DR, ROUND ROCK, TX 78664-4055
(512) 656-6496
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
573428
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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