Provider Demographics
NPI:1174049134
Name:PAWELEK, STEPHANIE RAE SVOBODA (FNP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:RAE SVOBODA
Last Name:PAWELEK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:RAE
Other - Last Name:SVOBODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-7719
Mailing Address - Country:US
Mailing Address - Phone:214-590-5524
Mailing Address - Fax:214-590-6950
Practice Address - Street 1:4900 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7719
Practice Address - Country:US
Practice Address - Phone:214-590-5524
Practice Address - Fax:214-590-6950
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP134304OtherFNP