Stavchansky, Marcus M

Stavchansky, Marcus M is an sole proprietor health care provider with primary practice located at 1341 W Mockingbird Ln Suite #400 E, Dallas TX 75247-6913. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stavchansky, Marcus M can be contacted via phone (214) 647-9312.

Contact Information

Primary practice address
1341 W Mockingbird Ln Suite #400 E Dallas TX 75247-6913
Phone: (214) 647-9312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 39396 Texas

Profile Details

NPI number 1073654661
LBN Legal business name Stavchansky, Marcus M
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 11th, 2012 - about 14 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 1073654661 NPPES
Texas Other 39396 PHARMACY LICENSE

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