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NPI Code Detail

MEDICARE: STEPHEN TRAPP

MEDICARE: STEPHEN TRAPP
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
1183500000XPharmacist20526TX

General Provider Information

NPI Number : 1568774990
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN TRAPP
Provider Business Mailing Address
First Line : 3663 BRIARPARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77042-5205
Country : US
Telephone Number : 713-268-3630
Fax Number : 623-869-1717
Provider Business Practice Location Address
First Line : 3100 INDEPENDENCE PKWY
Second Line :
City : PLANO
State : TX
Zip : 75075-9152
Country : US
Telephone Number : 972-596-4422
Fax Number : 972-964-5611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2010
Last Update Date : 07/14/2010

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