Organization
ANYPLACE HEALTHCARE ORGANIZATION
Active
Other names
Legacy ENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANNY SHANE STEVENS (CEO)
(512) 989-6990
Entity
Organization
Contact information
Practice address
1005 MARLANDWOOD RD STE 119, TEMPLE, TX 76502-3341
(254) 203-7368
(254) 598-2051
Mailing address
2001 WINDY TER STE F, CEDAR PARK, TX 78613-4290
(512) 989-6990
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
—
—
Other
Enumeration date
03/08/2022
Last updated
12/05/2024
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