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Contact Information

STEPHEN M STANLEY, MD
120 E HARRIS AVE
SAN ANGELO, TX76903-5904
 Phone: 325-658-1511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology

207ZC0006X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for STEPHEN M STANLEY · (Male)

NPI # 1134105570
Status Active
Credentials MD
Entity Individual
Enumeration date 12/19/2005
Last updated 11/19/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J1487
  • TX Medicaid 101415103
Hospital affiliation(s)
  • SHANNON MEDICAL CENTER - (Acute Care)
    120 EAST HARRIS AVENUE
    SAN ANGELO, TX 76903
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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