Individual
STEPHANIE ANDREA FOXX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
697 LOUISIANA RD, DYESS AFB, TX 79607-1141
(325) 699-8478
Mailing address
5188 WESTERN PLAINS AVE, ABILENE, TX 79606-5368
(325) 701-4753
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/16/2009
Last updated
08/16/2012
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