Stanley, Stephen M
Stanley, Stephen M is an individual health care provider with primary practice located at 120 E Harris Ave , San Angelo TX 76903-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as his primary health care specialty. Stanley, Stephen M can be contacted via phone (325) 658-1511.Contact Information
Primary practice address
120 E Harris Ave
San Angelo TX 76903-5904
Phone: (325) 658-1511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology | 207ZC0006X | J1487 | Texas |
Profile Details
| NPI number | 1134105570 |
|---|---|
| LBN Legal business name | Stanley, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Nov 19th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134105570 | NPPES |
| Texas | MEDICAID | 101415103 |
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