Terry, Stacy Lynn
Terry, Stacy Lynn is an individual health care provider with primary practice located at 4040 Legacy Dr. 201, Frisco TX 75034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Terry, Stacy Lynn can be contacted via phone (972) 668-6705.Contact Information
Primary practice address
4040 Legacy Dr. 201
Frisco TX 75034
Phone: (972) 668-6705
Fax: (972) 668-7308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K5318 | Texas |
Profile Details
| NPI number | 1417921008 |
|---|---|
| LBN Legal business name | Terry, Stacy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 14th, 2010 - about 15 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 | 1417921008 | NPPES |
| Texas | Other | 0003LB | BCBS |
| Texas | MEDICAID | 162238301 | BCBS |
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