Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | M0208 | TX |
NPI | 1740498013 |
---|---|
Provider Name | Dr. Steven Stacy Orten |
First Address | Plano, TX 75093-8171 |
Second Address | Plano, TX 75093-8171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 03/12/2009 |