1669155511 NPI number — MS. STEPHANIE PRYOR NEMT

Table of content: MS. STEPHANIE PRYOR NEMT (NPI 1669155511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669155511 NPI number — MS. STEPHANIE PRYOR NEMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRYOR
Provider First Name:
STEPHANIE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NEMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TRANSPORTATION
Provider Other First Name:
SLP
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
NEMT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1669155511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8520 SWEETWATER LN STE G70
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77037-2828
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
346-578-0275
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8520 SWEETWATER LN STE G70
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77037-2828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
346-578-0275
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/08/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)