Provider Demographics
NPI:1194941211
Name:VERTREES, STEPHANIE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MICHAEL
Last Name:VERTREES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8200 N MOPAC EXPY STE 270
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8936
Mailing Address - Country:US
Mailing Address - Phone:512-655-3737
Mailing Address - Fax:512-298-5354
Practice Address - Street 1:8200 N MOPAC EXPY STE 270
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8936
Practice Address - Country:US
Practice Address - Phone:512-655-3737
Practice Address - Fax:512-298-5354
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP34772084N0008X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine