Hanley, Stacey C

Hanley, Stacey C is an individual health care provider with primary practice located at 6606 Lbj Fwy Ste 200 , Dallas TX 75240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hanley, Stacey C can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Ste 200 Dallas TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K0486 Texas

Profile Details

NPI number 1407850787
LBN Legal business name Hanley, Stacey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407850787 NPPES
Texas MEDICAID 104201205
Texas Other 8BE099
Texas MEDICAID 104201207
Texas Other P00719316
Texas MEDICAID 104201206

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