IndividualActive
Stacey Baskerville
NPI 1417099565 · Intermediate Emergency Medical Technician · Sweeny, TX
Provider details
- NPI number
- 1417099565
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 139905 (TX)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
300 Silverleaf Rd Apt 1201
Sweeny, TX 77480-1839
Phone: (979) 482-4637
Approximate (ZIP-level) locationGet directions
Mailing address
300 Silverleaf Rd Apt 1201
Sweeny, TX 77480-1839
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.