Healthcare Provider Details

I. General information

NPI: 1407767312
Provider Name (Legal Business Name): HANNAH STAHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S NEDDERMAN DR
ARLINGTON TX
76019-9800
US

IV. Provider business mailing address

701 S NEDDERMAN DR
ARLINGTON TX
76019-9800
US

V. Phone/Fax

Practice location:
  • Phone: 817-272-2011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1057344
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: