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NPI Code Detail

MEDICARE: MS. ERIN JESSICA STIBRAL P.A.- C

MEDICARE: MS. ERIN JESSICA STIBRAL P.A.- C
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
1363A00000XPhysician Assistant
2363A00000XPhysician Assistant1070453

General Provider Information

NPI Number : 1538142716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERIN JESSICA STIBRAL P.A.- C
Provider Business Mailing Address
First Line : 1007 E 41ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4809
Country : US
Telephone Number : 512-374-0055
Fax Number :
Provider Business Practice Location Address
First Line : 1007 E 41ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4809
Country : US
Telephone Number : 512-374-0055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 03/26/2025

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Directions to “ MS. ERIN JESSICA STIBRAL P.A.- C” Practice Location

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