Healthcare Provider Details

I. General information

NPI: 1023936705
Provider Name (Legal Business Name): STEPHANIE BRIOUX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

IV. Provider business mailing address

4424 GAINES RANCH LOOP APT 320
AUSTIN TX
78735-6494
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-1000
  • Fax:
Mailing address:
  • Phone: 602-615-0881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1233621
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1233621
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN10049682
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: