| Punnam Stephan, APRN, FNP-C | |
|
845 S State Hwy 78, Ste 150, Lavon, TX 75166 | |
| (972) 532-6214 | |
| Not Available |
| Full Name | Punnam Stephan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 845 S State Hwy 78, Lavon, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104245984 | NPI | - | NPPES |
| 3401879-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP125397 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Lake Pointe | Rowlett, TX | Hospital |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Punnam Stephan, APRN, FNP-C 845 S State Hwy 78, Ste 150, Lavon, TX 75166 Ph: (972) 532-6214 | Punnam Stephan, APRN, FNP-C 845 S State Hwy 78, Ste 150, Lavon, TX 75166 Ph: (972) 532-6214 |
Mrs. Sarah Mansoor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 670 Crockett Dr, Lavon, TX 75166 Phone: 646-233-7316 | |
Dr. Thingal G Masar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 496 Harding Ln, Lavon, TX 75166 Phone: 405-496-6363 | |
Laura Mbassi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 453 Rockstream Dr, Lavon, TX 75166 Phone: 817-323-4141 |