Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | M3832 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | M3832 | TX |
NPI | 1346335593 |
---|---|
Provider Name | Stacy Abernathy |
First Address | Dallas, TX 75246-2003 |
Second Address | Dallas, TX 75246-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 07/08/2019 |