Individual
STEPHANIE WHITE PEDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 236-1600
Mailing address
755 N 11TH ST STE P2280, BEAUMONT, TX 77702-1525
(409) 236-1600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1173063
TX
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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