# RACHENETTA V STIMAGE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154666980
- **Authorized official:** CRYSTAL MARIE GRAHAM (OFFICE MANAGER)
- **Authorized official phone:** (972) 492-7606

## Contact information

- **Practice address:** 4360 N JOSEY LN, CARROLLTON, TX 75010-4602
- **Practice address phone:** (972) 492-7606
- **Practice address fax:** (972) 492-0105
- **Mailing address:** 4360 N JOSEY LN, CARROLLTON, TX 75010-4602
- **Mailing address phone:** (972) 492-7606
- **Mailing address fax:** (972) 492-0105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | M9680 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2012
- **Last updated:** 05/20/2019