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NPI Code Detail

MEDICARE: STEPHANIE ARACELY FIERROS PA

MEDICARE:   STEPHANIE ARACELY FIERROS  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA14636TX
2363AM0700XMedical Physician AssistantPA14636TX

General Provider Information

NPI Number : 1366010605
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ARACELY FIERROS PA
Provider Business Mailing Address
First Line : 8250 MEADOW RD APT 5414
Second Line :
City : DALLAS
State : TX
Zip : 75231-3776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 737 N BISHOP AVE
Second Line :
City : DALLAS
State : TX
Zip : 75208-4340
Country : US
Telephone Number : 214-364-1047
Fax Number : 214-946-9752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/13/2023

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Directions to “ STEPHANIE ARACELY FIERROS PA” Practice Location

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