Dr. Stacy Randolph Stephens
Gynecologist
6200 W Parker Rd Mob 1 Suite 502
Plano
, Texas 75093-7939
Dr. Stacy Randolph Stephens
Gynecologist
6200 W Parker Rd Mob 1 Suite 502
Plano
, Texas 75093-7939
(972) 931-6164
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Stacy Randolph Stephens
- 5936 Gladeside Ct
- Dallas, TX
- Zip : 75248-2111
- Fax : (972) 931-6164
- Phone : (972) 931-6124
Second Address
- Dr. Stacy Randolph Stephens
- 6200 W Parker Rd Mob 1 Suite 502
- Plano, TX
- Zip : 75093-7939
- Fax : (972) 312-1662
- Phone : (972) 312-1309
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Is Dr. Stacy Randolph Stephens a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | D5324 | TX |
National Provider Identifier
| NPI | 1114944766 |
|---|---|
| Provider Name | Dr. Stacy Randolph Stephens |
| First Address | Dallas, TX 75248-2111 |
| Second Address | Plano, TX 75093-7939 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 13/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 824472 | BLUE CROSS BLUE SHIELD (01) | TX |
| C22246 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.