Individual
DR. STEPHANIE C. HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7848 GATEWAY BLVD E, EL PASO, TX 79915-1815
(915) 599-1313
(915) 599-1701
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
220089
NY
2085R0001X
Radiation Oncology Physician
60-220089
NY
2085R0001X
Radiation Oncology Physician
Primary
M8700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203839105
—
TX
05
—
2167917
—
NY
05
—
63432536
—
TX
01
—
P01011883
RAILROAD MEDICARE
TX
Enumeration date
07/22/2005
Last updated
02/15/2013
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