# STACY L. TERRY, MD PA

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

## Provider details

- **NPI number:** 1467524678
- **Authorized official:** DR. STACY LYNN TERRY MD (PRESIDENT)
- **Authorized official phone:** (214) 707-6443

## Contact information

- **Practice address:** 4040 LEGACY DR STE 201, FRISCO, TX 75034-6748
- **Practice address phone:** (972) 668-6705
- **Practice address fax:** (972) 668-7308
- **Mailing address:** 4820 STAR RIDGE LN, FRISCO, TX 75034-5128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | K5318 | TX | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | K5318 | TX | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 03/30/2026