MEDICARE: STEPHANIE MCGLOTHLIN

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	363LF0000X	Family Nurse Practitioner	1205611	TX

General Provider Information

NPI Number	:	1154114692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MCGLOTHLIN

Provider Business Mailing Address
First Line	:	1290 WONDER WORLD DR STE 1100
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7969
Country	:	US
Telephone Number	:	512-393-3325
Fax Number	:	512-393-3328

Provider Business Practice Location Address
First Line	:	1290 WONDER WORLD DR STE 1100
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7969
Country	:	US
Telephone Number	:	512-393-3325
Fax Number	:	512-393-3328

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

Provider Enumeration Date	:	05/27/2025
Last Update Date	:	02/11/2026

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Directions to “ STEPHANIE MCGLOTHLIN ” Practice Location

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