Provider Demographics
NPI:1700812112
Name:SYPNIEWSKI, STEPHANIE ANN ABELLO (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANN ABELLO
Last Name:SYPNIEWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ANN
Other - Last Name:ABELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4112 LINKS LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3901
Mailing Address - Country:US
Mailing Address - Phone:512-672-8933
Mailing Address - Fax:512-672-8937
Practice Address - Street 1:4112 LINKS LN
Practice Address - Street 2:SUITE 201
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3901
Practice Address - Country:US
Practice Address - Phone:512-672-8933
Practice Address - Fax:512-672-8937
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1173208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8P1513OtherBCBSTX INDIVIDUAL NUMBER
TX8P1513OtherBCBSTX INDIVIDUAL NUMBER