MEDICARE: STEFANIE LYNN ADDINGTON M.D.

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	L8255	TX
2	207R00000X	Internal Medicine Physician	L8255	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639197759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE LYNN ADDINGTON M.D.

Provider Business Mailing Address
First Line	:	6124 W PARKER RD STE 234
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8124
Country	:	US
Telephone Number	:	729-468-9999
Fax Number	:	972-981-3600

Provider Business Practice Location Address
First Line	:	8350 DALLAS PKWY STE 300
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-5076
Country	:	US
Telephone Number	:	972-468-9999
Fax Number	:	972-981-3600

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/22/2023

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