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NPI Code Detail

MEDICARE: STEFAN DEAN ARIAS NP

MEDICARE: STEFAN DEAN ARIAS NP
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
1163W00000XRegistered Nurse935793TX
2363LF0000XFamily Nurse Practitioner1096902TX

General Provider Information

NPI Number : 1952918690
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN DEAN ARIAS NP
Provider Business Mailing Address
First Line : 5531 S HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-2202
Country : US
Telephone Number : 817-346-5960
Fax Number : 817-346-5961
Provider Business Practice Location Address
First Line : 5531 S HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-2202
Country : US
Telephone Number : 817-346-5960
Fax Number : 817-346-5961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2020
Last Update Date : 10/18/2022

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Directions to “ STEFAN DEAN ARIAS NP” Practice Location

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