Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY BASKERVILLE
Active Sole ProprietorEmergency Medical Technician, Paramedic · SWEENY, TX
Registration Details
- NPI Number
- 1417099565
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2007 (19.187350917213 yrs)
- Last Updated
- Jul 8, 2007
- License
-
139905 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 SILVERLEAF RD APT 1201SWEENY, TX, 774801839Browse TX providers · Browse ZIP 77480
- Phone
- 9794824637
- Primary Specialty
-
Emergency Medical Technician, Paramedic
146M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.