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Individual
STACEY C HANLEY
Active
Individual
STACEY C HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K0486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104201205
—
TX
05
—
104201206
—
TX
05
—
104201207
—
TX
01
—
8BE099
BCBS
TX
01
—
P00719316
RAILROAD
TX
Enumeration date
06/02/2005
Last updated
06/24/2020
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