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General NPI Number Information
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NPI Number | 1467524678
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Entity Type | Organization
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Legal Business Name | STACY L. TERRY, MD PA
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 4040 LEGACY DR STE 201
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City | FRISCO
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State | TX
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Zip | 75034-6748
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Country | US
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Telephone | 972-668-6705
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Fax | 972-668-7308
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Provider Business Mailing Address
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Address Line | 4820 STAR RIDGE LN
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City | FRISCO
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State | TX
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Zip | 75034-5128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STACY LYNN TERRY
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Credential | MD
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Telephone | 214-707-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | K5318
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License Number State | TX
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