Provider Demographics
NPI:1821716499
Name:EPPERSON, STEFANIA (CST/ CSFA)
Entity Type:Individual
Prefix:
First Name:STEFANIA
Middle Name:
Last Name:EPPERSON
Suffix:
Gender:F
Credentials:CST/ CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22631 MIRAMAR BEND DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1212
Mailing Address - Country:US
Mailing Address - Phone:713-907-4998
Mailing Address - Fax:
Practice Address - Street 1:3101 NASA PKWY STE F
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-6475
Practice Address - Country:US
Practice Address - Phone:813-908-4998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty