Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N1787 | TX |
N | 111NI0900X | Internist | N1787 | TX |
Y | 207RH0002X | Hospice and Palliative Medicine | N1787 | TX |
NPI | 1053550681 |
---|---|
Provider Name | Dr. Stephanie Kay Sun |
First Address | San Angelo, TX 76904-7610 |
Second Address | San Angelo, TX 76904-7610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2009 |
Last Update Date | 07/05/2021 |