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Organization
STEPHANIE L ATIYEH MD PA
Active
Organization
STEPHANIE L ATIYEH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ATIYEH MD (OWNER)
(972) 566-2667
Entity
Organization
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2505
(972) 566-2667
Mailing address
P O BOX 869365, PLANO, TX 75086
(972) 758-3598
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L9078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012LY
BCBS
TX
Enumeration date
03/16/2007
Last updated
08/22/2020
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