MEDICARE: JAMES H STANLEY MD 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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician

General Provider Information

NPI Number	:	1083048987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES H STANLEY MD PA

Provider Business Mailing Address
First Line	:	8220 WALNUT HILL LN
Second Line	:	STE 616
City	:	DALLAS
State	:	TX
Zip	:	75231-4427
Country	:	US
Telephone Number	:	469-554-0213
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 BEACHVIEW ST
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75218-3700
Country	:	US
Telephone Number	:	469-554-0213
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES STANLEY
Credential	:	MD
Telephone Number	:	469-554-0213

Provider Enumeration Date	:	08/27/2013
Last Update Date	:	01/08/2015

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