Provider Demographics
NPI:1518343961
Name:SAUNDERS, STEPHANIE GARCIA (CPM LM)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:GARCIA
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CPM LM
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:GARCIA
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPM LM
Mailing Address - Street 1:728 SAMPSON
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5789
Mailing Address - Country:US
Mailing Address - Phone:512-757-7038
Mailing Address - Fax:866-414-1367
Practice Address - Street 1:728 SAMPSON
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5789
Practice Address - Country:US
Practice Address - Phone:512-757-7038
Practice Address - Fax:866-414-1367
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-08
Last Update Date:2015-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99245176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife