Stephens, Stacy Randolph

Stephens, Stacy Randolph is an individual health care provider with primary practice located at 6200 W Parker Rd Mob 1 Suite 502, Plano TX 75093-7939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Stephens, Stacy Randolph can be contacted via phone (972) 312-1309.

Contact Information

Primary practice address
6200 W Parker Rd Mob 1 Suite 502 Plano TX 75093-7939
Fax: (972) 312-1662
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D5324 Texas

Profile Details

NPI number 1114944766
LBN Legal business name Stephens, Stacy Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 13th, 2007 - about 19 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 1114944766 NPPES
Texas Other 824472 BLUE CROSS BLUE SHIELD

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