NPI 1417099565

Stacey Baskerville

Practitioner Intermediate Emergency Medical Technician Sweeny, TX

Practice location

Address: 300 Silverleaf Rd APT 1201, Sweeny, TX 77480-1839
Phone: (979) 482-4637

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 139905 (TX)

Other Emergency Medical Technician, Intermediate providers in Texas →

Registry record

NPI: 1417099565
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.