MEDICARE: STEPHANIE ROSE DENZLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	W6212	TX

General Provider Information

NPI Number	:	1285218701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ROSE DENZLER MD

Provider Business Mailing Address
First Line	:	1601 TRINITY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1765
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 TRINITY ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78712-1765
Country	:	US
Telephone Number	:	833-882-2737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	06/22/2026

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