STEPHANIE L. FETZKO M.D. – NPI #1508151515
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

STEPHANIE FETZKO is a physician located in HOUSTON, TX. NPPES has assigned the NPI number 1508151515 to STEPHANIE FETZKO on June 17, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 7 years ago on Aug 01, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHANIE FETZKO below.

NPI Profile for
STEPHANIE L. FETZKO

NPI Number
1508151515
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE L. FETZKO
Credentials
M.D.
Primary location
1102 BATES AVE
TEXAS CHILDREN'S HOSPITAL, SUITE C1570
HOUSTON, TX 77030-2617
Phone: (832) 822-4206 Fax:
Mailing address
1102 BATES AVE TEXAS CHILDREN'S HOSPITAL, SUITE 1770
HOUSTON, TX 77030-2617
Phone: (832) 824-6895 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
TX Q4398

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.